Raise Weekly Payment Confirmation Form

Name *

First

Last

Your Postcode *

Your Mobile No. *

I Would like to Raise my payments by

£2.50 a week (I will now pay £7.50 a week for a credit limit of £170)
£5.00 a week (I will now pay £10.00 a week for a credit limit of £240)

I am not interested at the moment. Please contact me again in:

3 months
6 months
I am happy as I am please do not contact me

Please confirm last 4 digits on payment card *

Terms and Conditions *

I am happy for you to contact me

Important If you choose to raise your payments, please make sure you are happy with your choice and are able to make the new payment amount. We will contact you via text message to keep you updated on your new payment. We reserve the right to reduce your credit limit if you do not keep up with your new payments

Please Note: *

If you choose to raise your payments please only do so if you are comfortable to do so and can afford the increased payments

Any orders placed at the new limit will not be dispatched until your next payment amount is made at the new amount.

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Raise Weekly Payment Confirmation Form

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