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Instruction to your bank or building society to pay by Direct Debit Please fill in all sections of this form using a ball point pen and send it to Service User Number Kaleidoscope Ltd 1 Amberley Street Sheffield S9 2FS This information is for Kaleidoscope Ltd use only and does not form part of the instruction to your bank or building society. Name and full postal address of your Bank or Building Society To The Manager Signature s Address Postcode Date Reference Number Your Kaleidoscope...
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