Standing Order Mandate

INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY TO PAY A STANDING ORDER PAYMENT

 

To the Manager………………………………………………Bank / Building Society

 

Bank Address………………………………………………………….…........................................................

 

Postcode …....................

 

Name of account ……………………………………………………………………..

 

Account No............................................... Sort Code......................

 

Please transfer from the above account to the Co-operative Bank:

 

Garrigill Village Hall, Account no. 65560705, Sort Code: 08-92-99

 

the sum of £…..….(amount in words) ………………………............................................pounds

 

commencing on......…......................................and thereafter [annually on that date*] [on the 1st day 

of each month*] [delete as appropriate] until this instruction is cancelled.

 

Using Reference : GVH100-……………………………………….......................(add first initial and surname)

 

 

(Signature) ……………………………………………………

 

(Name):………………………………………………….

 

(Address)……………………………………………………………

 

………………………..………………………………….. (Postcode)………………….

 

 

(Date) ……………………………………

 

 

DO NOT SEND THIS FORM TO YOUR BANK OR BUILDING SOCIETY