Direct Credit Card Payment

This screen is used to send a direct credit/debit card payment to Leisureinsure

Please use this function only under direction from Leisureinsure Head Office. All fields are mandatory

Please note that this function is not available for "Instant Quotes" that have been provided by this site. If you have had and "Instant Quote" from this site, please use the Quote Recall and settle your premium there

Please enter your payment details

Quote reference or Policy Number
Amount of Payment (format pounds.pence ie 99.15)	£
Card Type
Your Name
Your Telephone
Your Email
Status
Do you require installment facilities
Name of Account Holder
Sort Code (in format nnnnnn)
Account Number (in format nnnnnnnn)
You are the account holder on the above account and therefore the payer. You are the only person required to authorise debits from the account provided above.	I agree
I confirm these bank details are correct	I agree
If paying by instalments, you will receive a confirmation letter (by email or post), a copy of the Direct Debit Guarantee and Advance Notice of the amount and date of the first collection of your direct debit. This will be sent to you within 3 days but no later than 10 days before the first instalment is due to be taken. The company name that will appear on your bank statement is "LPF"

Direct Credit Card Payment

Our insurance policies