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INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY TO PAY BY DIRECT DEBIT Please fill in the whole form using a ball point pen and send it to: Ice Cream Alliance Limited, 3 Melbourne Court, Pride Park, Derby DE24 8LZ. Name an
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Document Date: 2012-07-17 04:19:48


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City

Derby / /

Company

TO YOUR BANK OR / Ice Cream Alliance Limited / /

Facility

Building Society Address / Building Society Please / Building Society / BUILDING SOCIETY TO PAY BY DIRECT DEBIT Please / Building Society To / Building Societies / /

Organization

Building Society / Melbourne Court / Bank/Building Society / /

Position

Manager / /

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