Other

Name | Date | Total Payment | Comments | Contact Details

Name

Please enter the name the payment is being made on behalf of.

Date

Please enter date covered by payment.

Total Payment

Please enter value of payment in pounds sterling. If making multiple payment types, please enter each one separately by selecting "Add to Basket".

Comments

Please include any other relevant information which will assist us in identifying and allocating your payment e.g. reason or details of payment (deposit etc) C & E officer's name, description of goods, or any details taken from any C & E forms or letters.

Contact Details

Please enter a contact name and phone number which can be used in the event of a query with your payment.