Direct Debit Form Please fill in our direct debit form. Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.LayoutName(s) of Account Holder(s) *Bank or Building Society account number *Branch Sort Code *Name and full postal address of your Bank or Building SocietyTo The Manager Bank/Building Society: *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeDear Customer: Please Complete Below for Our RecordsName *Address *Address Line 1Address Line 2CityState / Province / RegionPostal CodeEmail *Phone *Instruction to your Bank or Building Society Please pay FastPay Ltd Re Toffoo Limited t/a XL Telecom Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with FastPay Ltd Re Toffoo Limited t/a XL Telecom and, if so, details will be passed electronically to my Bank/Building Society.Signature *Clear SignatureDate / Time *Submit