When we receive this form we will send you a confirmation letter containing the details of your direct debit donation to Children’s Health Foundation. You will also receive an email immediately acknowledging receipt of this form.

You are signing up for a recurring direct debit which will be processed from your account every month on your chosen date.

By submitting this mandate form, you authorize (A) The Children’s Health Foundation to send instructions to your bank to debit your account and (B) your bank to debit your account in accordance with the instructions from the Children’s Health Foundation.

As part of your rights, you are entitled to a refund from your bank under the terms and conditions of your agreement with your bank. A refund must be claimed within 8 weeks starting from the date on which your account was debited. Your rights are explained in a statement you can obtain from your bank.

By submitting this mandate form, you authorise Children’s Health Foundation to provide at least 4 days advance notice before the first direct debit is collected from your account.