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Request to amend a Single Person Discount


Please note: Required fields are marked with an asterisk. *

  1. Account Details
    1. Account Number
    2. Date*
      Please specify the date from which the single person discount no longer applies
  2. Reasons for adjustment of discount
    1. 1. Has a second adult joined your household?
      If yes, please specify their name and their previous address
    2. 1. Has a second adult joined your household?
    3. Status in your household (ie. lodger, partner)
    4. Name
    5. Address
    6. 2. Has a child become 18?
    7. 2. Has a child become 18?
    8. Are they in full-time education?
    9. Are they in full-time education?
    10. Any other reason?
      Please specify
  3. Your Details:
    1. Title
    2. Forename*
    3. Initials
    4. Surname*
    5. Company Name
      If Applicable
    6. Home Phone*
      Please include your area code
    7. Work Phone
      Please include your area code
    8. Mobile Phone
    9. Email Address*
      Please double check this address to ensure it is correct
    10. House Number/Name
    11. Street Name*
    12. Village/Locality
    13. Town/City*
    14. County
    15. Country
    16. Post Code*