Payment Proposal Plan

Thank you for proposing to set up a Payment Plan.

Please complete the form below.


Equita Account Reference Number

Your Equita Account Reference Number can be found on all correspondence we send to you.

Please note that fields marked with an * are compulsory.

Account Details:

Payment Plan Suggestion:

Please Note:*   The start date for Direct Debits must be within 15-30 day's from today - However other payment menthods must start within 14 day's. *