Promise to Pay Application Form

Please complete this form to make your Promise to Pay:

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Please provide at least one contact telephone number

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(include area code e.g. 0207 1234567)
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(include area code e.g. 01634 123456)
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(e.g. 07701 234999)
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(Example: chris@email.co.uk)


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(dd/mm)Your payment must reach your Vanquis Credit Card account within 14 days of today. If you think that your payment may reach your account after 14 days, please contact us on 0330 099 3007 (Please click here for call charge information).

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Note: By selecting 'Pre-Registered Debit Card' you are authorising us to debit your registered debit card for the amount and on the date you've entered above.

If you would like us to automatically debit your new card, and be eligible for faster payments in the future, you will need to register your Debit Card details with us. To do this, please visit PayVanquis. Alternatively, if you will be calling us to make your payment, please continue.

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