To give monthly please fill in the form below. You may cancel at anytime by logging on to the World Pay website using the details that will be provided when you complete your form. If you lose these and want to cancel please contact us.

 

Full name (including title)                            

Address (as on card)                                     

Postcode                                                         

Email                                                                

Telephone                                                       

Amount (per month)                                     

(in the format of 100.00 to give £100)

Number of months                               

(leave blank for continuing payments)

 

For queries or help about this service please contact Andrew Grafton, andygrafton@ituna.net, 100 Ashdell Road, Broomhill, Sheffield, S10 3DB, 0114 2660440