Swim lessons at the Selwyn Aquatic Centre
Dancers at CultureFest 2017
Use this form to provide authority to Selwyn District Council to create a Direct Debit on your bank account to pay your rates. All fields (except mobile number and email) are required. Alternatively, download a PDF copy of the form [PDF, 369 KB].
I/We acknowledge and accept that the bank accepts this authority only upon the conditions of this authority.
Would you like us to email your rates invoice(s) instead of sending a paper copy?
This form authorises Selwyn District Council until further notice to debit my/our account with all amounts which Selwyn District Council (the registered Initiator of Authorisation Code 0304862) may initiate by Direct Debit.I/We acknowledge and accept that the bank accepts this authority only upon the conditions listed here, and acknowledge that I have read and accept the conditions, am the owner of the property above, and am authorised to create this Direct Debit Authority.
Please enter the lower-case letters shown below: