The purpose of the automated payment agreement is to enable Alan Boswell Insurance Brokers ltd to take amounts due from yourselves by a direct debit arrangement. We will confirm the amount and date to be debited when the monthly invoices are produced.

Please fill in the below form to enable us to set up an instruction with your bank or building society.

Instruction to your bank or building society to pay by Direct Debit

Please note this is not a credit agreement and we are not offering credit under this agreement.

The Direct Debit Guarantee Please keep this guarantee for your records This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit Alan Boswell Insurance Brokers Limited will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Alan Boswell Insurance Brokers Limited to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Alan Boswell Insurance Brokers Limited or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when Alan Boswell Insurance Brokers Limited asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. For your information, the collections will be made using this reference: Service user number : 433912 Reference : Alan Boswell Insurance

Duration and termination of the Agreement

This agreement has no fixed or minimum duration.

You have the right to withdraw from the payment agreement at any time with 14 days’ notice received in writing to [email protected]

Consequences of missing payments

If payments are rejected by the bank we will send you a reminder for payments due giving 14 days to make payment. If after this time there is no contact made with satisfactory payment terms arranged, we reserve the right to pass the account to debt recovery and costs passed on to yourselves.

Should payments be claimed back via your bank we reserve the right to pursue yourselves via the courts for outstanding monies due.

 Information on Alan Boswell Group (The Creditor)

• Company Registration Number – 02591252
• Financial Services Register Number – 301081
• The Supervisory Authority – The Financial Conduct Authority

Complaints

If you wish to make a complaint about this agreement or our service, please contact our Compliance Manager at Alan Boswell Insurance Brokers Limited, Harbour House, 126 Thorpe Road, Norwich, NR1 1UL. If we have given you our final response and you are still unhappy, or more than 8 weeks have passed since we received your original complaint, you may refer your complaint to the Financial Ombudsman Service (FOS) at Exchange Tower, London, E14 9SR