[Your name and address]
[write Date here]
[Name of bank, building society or credit union]
[Name of branch]
RE: CANCELLATION OF DIRECT DEBIT
My/Our account name:
I/We wish to cancel the direct debit to [name of merchant] from my/our account effective / / [insert date]/immediately. [Delete one] Please ensure that any direct debits from that merchant are not deducted from my account. [for credit cards only]In further, I attach a copy of my letter to the merchant withdrawing my authority to direct debit my credit card.
*All account holders must sign