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Yes, I want to do my bit to help beat Global Warming. Please offset 9 tonnes of carbon pollution on the EU-ETS exchange on my behalf and send me my Carbon Reduction Pack including my 10 low energy light bulbs so that I can reduce my own carbon emissions by another tonne and save up to £100 every year on my electricity bill.

Title

First Name

Last Name

Street Address

Address (cont.)

Town

County

Post Code

Home Phone

E-mail

Annual Direct Debit Details

Name of Bank

Bank Sort Code

Account Number

Name of Account Holder

Please choose your preferred Direct Debit option by ticking one of the boxes below

Quarterly Payments £23.75 per quarter

Annual Payments £95.00 Per Year

The Direct Debit Guarantee

· This Guarantee is 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 and Building Society.

· If the amounts to be paid or the payment dates change Carbon Offset Solutions (or its agents or banking partners) will notify you 10 working days in advance of your account being debited or as otherwise agreed.

· If an error is made by Carbon Offset Solutions (or its agents or banking partners) or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid.

· You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.

Title
First Name
Last Name
Street Address
Address (cont.)
Town
County
Post Code
Home Phone
E-mail

	Annual Direct Debit Details
Name of Bank
Bank Sort Code
Account Number
Name of Account Holder

Please choose your preferred Direct Debit option by ticking one of the boxes below
Quarterly Payments	£23.75 per quarter
Annual Payments	£95.00 Per Year