|
STANDING ORDER
| To. |
_____________________________________ |
BANK
|
| Address |
_____________________________________ |
|
| |
_____________________________________ |
|
| |
_____________________________________ |
|
| Postcode |
_____________________________________ |
|
Please make payments detailed below and debit
my/our account
Name(s) of A/C to be
debited____________________________ A/C No___________________
Reference Number to Be
Quoted*:_____________________________ Date:
_______________
*(SURNAME-MEMBERSHIP NUMBER) i.e: BROWN 123 or
SMITH F12
| Name of Payee |
THE FRIENDS OF UPTON COUNTRY PARK |
| A/C Number |
11324458 |
| Sort Code |
16-28-20 |
| |
|
| Bank & Branch to which payment is to be
made |
THE ROYAL BANK OF SCOTLAND |
| |
13-15 KINGLAND ROAD |
| |
POOLE, DORSET, BH15 1SL |
| |
|
| Amount (in words) |
_________________________________________
£____________ |
| Date of Payment Each Month: |
_________________________________________ |
| Date of First Payment: |
_________________________________________ |
| Special Instructions (if any): |
|
* Payments are to continue until
you receive further notice in writing. This
instruction cancels and previous order in favour of
the payee named above under this reference.
Signature(s):
_____________________________________
Date:_________________ |
|
