Hightown Payment Plan form

Please consider how much you can afford to pay additional to your rent – for example £125 rent per week plus an extra £25 per week to pay back your arrears.

You can propose a payment plan by using the form below.

Name

Address

Phone Number

Please confirm the amount you would like to pay

How often can you make this payment?

Your preferred payment method?

Date of first payment?

I'm not a robot

Propose a payment plan