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Direct Debit Cancelation
Please use this form to request us to cancel your direct debit with Sport Brighton. Please note you can also carry out this process directly with your bank without needing to complete this form. Requests need to be submitted by the 26th of the month in order to be processed in time to avoid the next payment being taken from your account.

For information on how we use your data see our Privacy Notice.

First Name (*)
Please let us know your name.
Surname (*)
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Your Email (*)
Please let us know your email address.
Year of cancelation (*)
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What year do you wish this to be cancelled from.
Month you wish to cancel from. Your membership will cease at the start of this month. (*)
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We must receive notification by the 26th of the month prior to your chosen month.
UniCard Number (*)
Please write a subject for your message.
This can be found on your UniCard/ Membership card and is clearly labelled. This is NOT your student number. It normally starts with 00 followed by 6 numbers.
Please let us know your reason for cancelling (tick those that apply).






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What services did you use?


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Tick all that apply
(*)
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