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Account Details and Your Payment Offer
AMA Reference Number
Amount to be Debited (£)
Arrangement Method
Allpay
Cash
Cheque
Credit or Debit Card
Direct Debit
Standing Order
Your AMA Reference Number can be found on any correspondence we have sent you.
If your AMA Reference Number refers to an account with more than one customer on it, we need to know details of all the customers, although the direct debit arrangement will only apply to you.
You will need bank, employment and income details to continue.
Your Details
First Name
Last Name
Your Address
Town
Postcode
Telephone (Day)
Telephone (Evening)
Telephone (Mobile)
Email Address
NI Number
Date of Birth