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ANNUALLY CREDIT / DEBIT CARD INSTRUCTION
ONLY FILL IN THIS SECTION IF YOU ARE PAYING ANNUALLY THROUGH YOUR BANK CREDIT/DEBIT CARD.
I hereby authorise Thistle Tenant Risks to collect my annual premium through my Bank/Credit card
Card No:
Expiry Date:
Security Code:
(last 3 digits on signature strip)
Issue No:
Signature (s)
Date:
ONLY COMPLETE THE FORM BELOW IF YOU ARE PAYING ANNUALLY BY CREDIT/DEBIT CARD
(see overleaf if your chosen option of payment is monthly by direct debit)