INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY TO PAY BY DIRECT DEBIT.

  I wish to subscribe to BackTrack.

I wish to pay £40 annually , £10 Quarterly

Name:                                                                                         

Address:                                                                                    

Postcode: ___   _________ Tel No:                                             

Email:                                                                                       

I understand that my subscription to BackTrack will automatically continue unless I cancel in writing. This offer is valid only in the UK.

Signature:                                                                                   

Date:                                                                                            

PLEASE RETURN TO:

BACKTRACK SUBSCRIPTIONS DEPARTMENT,

WEST STREET,

BOURNE,

LINCS,

PE10 9BR

Name and full postal address of your Bank or Building Society

To:THE MANAGER

Address:                                        

                           Postcode:                   

Name(s) of Account Holder(s)

 Branch Sort Code 

Bank/Building Society Account Number 

Originator's Identification Number 942240

Reference number

Please pay Warners Group Holdings Plc 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 Warner Group Holdings Plc and if so, details will be passed electronically to my Bank/Building Society.

This guarantee should be detached and retained by the Payer

The guarantee offered by all Banks and Building Societies that take part in the Direct Debit scheme. The efficiency and security of the scheme is monitored and protected by your own Bank or Building Society. If the amounts to be paid or the payment date details change, Warners Group Holdings Plc will notify you 10 working days in advance of your account being debited or as otherwise agreed. If an error is made by Warner Group Holdings Plc or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid. You can cancel your Direct Debit at any time, by writing to your Bank or Building Society. Please also send a copy of you letter to us.  Banks and Building Societies may not accept Direct Debit Instructions for some types of account.