Flitwick & Ampthill Lawn Tennis Club Limited 100 Club

 

Please complete the standing order below and either hand it to a committee member or send it to:

Mike Reay

53 High Street

Silsoe

Beds MK45 4EP

 

Please set up the following standing order and debit my account accordingly.

 

Standing Order Mandate

 

 

To:

 

Bank

(insert your bank name and address)

 

Address:

 

 

 

 

 

 

Please tick relevant box:-                 

         New Instruction

 

 

          Please amend previous standing order quoting beneficiary

 

 

ACCOUNT TO BE DEBITED:

 

 

BENEFICIARY DETAILS:

 

Sort Code

 

 

 

Bank

Barclays Bank PLC

 

 

 

 

 

 

Account Number

 

 

 

 

 

 

 

 

Branch Details

Bedford Business Centre

111 High Street, Bedford

MK40 1NJ

 

 

 

 

 

 

Account Name (s)

 

Sort Code

20

05

74

 

 

 

 

 

 

Account Number

9

3

2

2

5

0

0

3

 

 

 

 

 

 

Beneficiary Name

Flitwick & Ampthill Lawn Tennis Club Limited 100 Club

 

 

 

 

 

 

 

 

 

 

 

 

PAYMENT DETAILS:

 

 

 

 

 

Amount of first payment

£

Date of first payment

_  _  / _  _  / _  _  _  _

 

 

 

 

 

 

Amount of normal payment

£

Frequency 

Monthly

 

 

 

 

 

 

Please continue payment until further notice       Yes

Date of usual payment

20th Day of Each Month

 

 

 

 

Normal payment in words

 

 

 

 

 

 

 

 

 

 

 

Customer Signature(s)

 

 

 

 

 

 

 

 

Customer Name(s)

 

 

 

 

 

 

 

 

Date

_ _ / _ _ / _ _ _ _