[% INCLUDE 'waste/header.html' %]

Direct Debit Details

First Payment Date
[% payment_date.strftime('%e %B %Y') %], and annually thereafter
Amount
[% IF firstamount %] An initial payment of £[% firstamount %] and subsequently £[% amount %]. [% ELSE %] £[% amount %] [% END %]
Billing Address
[% address1 %]
[% address2 %][% '
' IF address2 %] [% address3 %][% '
' IF address3 %] [% town %]
[% postcode %]
[% BLOCK form_extra %][% END %] [% INCLUDE 'waste/dd_form.html' button_text="Continue to Bank Details" %] [% INCLUDE footer.html %]