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Pet Owner Details
Title
-
Dr
Miss
Mr
Mrs
Ms
Other
Prof.
First Name
Middle Name
Last Name
Phone
Email
Pet Owner Address
Address 1
Address 2
City
County
Postcode
Country
-
United Kingdom
Australia
Ireland
Netherlands
Hong Kong
Saudi Arabia
Czech Republic
Korea, Republic Of
United States
Spain
Nigeria
Portugal
Germany
Chad
United Arab Emirates
Oman
Austria
Mauritius
Poland
Lao People's Democratic Republic
Singapore
Italy
Norway
Sweden
Pakistan
France
Malawi
Romania
Uganda
China
Cyprus
Philippines
Latvia
Israel
Taiwan, Province Of China
Hungary
Qatar
Macao
Kuwait
Lithuania
Guernsey
Canada
Greece
Slovenia
Japan
Turkey
Brazil
Kenya
Zimbabwe
Jersey
Libya
South Africa
Malaysia
Denmark
Finland
Luxembourg
Saint Kitts And Nevis
Saint Lucia
Wales
Mauritania
SN2 2LZ
Belgium
Switzerland
The Pet lives at the same address
Pet's Address
Address 1
Address 2
City
County
Postcode
Country
-
United Kingdom
Australia
Ireland
Netherlands
Hong Kong
Saudi Arabia
Czech Republic
Korea, Republic Of
United States
Spain
Nigeria
Portugal
Germany
Chad
United Arab Emirates
Oman
Austria
Mauritius
Poland
Lao People's Democratic Republic
Singapore
Italy
Norway
Sweden
Pakistan
France
Malawi
Romania
Uganda
China
Cyprus
Philippines
Latvia
Israel
Taiwan, Province Of China
Hungary
Qatar
Macao
Kuwait
Lithuania
Guernsey
Canada
Greece
Slovenia
Japan
Turkey
Brazil
Kenya
Zimbabwe
Jersey
Libya
South Africa
Malaysia
Denmark
Finland
Luxembourg
Saint Kitts And Nevis
Saint Lucia
Wales
Mauritania
SN2 2LZ
Belgium
Switzerland
Pets Details
+ Add Another Pet
Direct Debit Payment Details
Name on the account
Account Number
Sort Code
The Direct Debit Guarantee
This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
If there are any changes to the amount, date or frequency of your Direct Debit Merlin Simple Payment Solutions Ltd will notify you 7 working days in advance of your account being debited or as otherwise agreed. If you request Merlin Simple Payment Solutions Ltd to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit, by Merlin Simple Payment Solutions Ltd or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society – If you receive a refund you are not entitled to, you must pay it back when Merlin Simple Payment Solutions Ltd asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us at office@merinsps.co.uk
Initial Payment
Payment Total
£
Total due today
Card Holder's Email Address
Confirmation
I understand that this is NOT an insurance policy
I read the
Terms and Conditions
of the agreement
I am the account holder & the only person required to authorise Direct Debit payments on this account
Privacy Policy
×
Name
Species
-
Dog
Cat
Gender
-
Male
Female
Weight Bracket
-
Under 25 kg
Over 25 kg
All
0 - 60 kg (Complete)
Choose a Health Plan
The Health Care Plan most suited to the pet
-
Care Plan - Essential Care plan Under 25 kg - £17.99 per month
Care Plan - Essential Care plan Over 25 kg - £19.99 per month
Care Plan - Essential Care plan Cats - £15.99 per month
Care Plan - Essential Care plan Under 25 kg INC HOME DELIVERY - £19.99 per month
Care Plan - Essential Care plan Over 25 kg INC HOME DELIVERY - £21.99 per month
Care Plan - Essential Care plan Cats INC HOME DELIVERY - £17.99 per month
Care Plan - Complete Care Plan Dog - £29.99 per month
Care Plan - Complete Care Plan Cat - £29.99 per month
Care Plan - Complete Care Plan Dog INC HOME DELIVERY - £31.99 per month
Care Plan - Complete Care Plan Cat INC HOME DELIVERY - £31.99 per month
Date of first Direct Debit collection