account closure form - gov.uk · you will no longer benefit from the account holder’s discount....
TRANSCRIPT
Ms Miss OtherMrs
Please allow 10 working days for your account to be closed. Without an account, you will have to pay for any crossings at the standard rate for your vehicle, and you will no longer benefit from the account holder’s discount. If payment is not made, then you may receive Penalty Charge Notices (PCNs).If you decide you would like to hold a Dart Charge account again, please go online at www.gov.uk/Dart-Charge or call us on 0300 300 0120.
*Information must be provided
Account Closure FormPlease write clearly and in CAPITALS. To close your Dart Charge account, please complete this form and email it to: [email protected]
Alternatively, you can complete and print this form and post it to:Dart Charge, PO Box 842, Leeds, LS1 9QF
Dart Charge Account Number*
Title*
First Name*
Last Name*
Property number and street*
Town / City*
Postcode*
Print Name*
Signature*
Date* DD/MM/YYYY
I hereby give notice that I wish to close my Dart Charge Account.
Mr