Standing Order Mandate
To:
Bank ...........................................................
(Please show name & address of your bank)
Branch ..........................................................
.......................................................................
Please pay Lloyds Bank, Billericay (sort code 30.90.80)
For Credit of Stock Cricket Club No. 2 A/C 0525804
The Sum of £.................. (in words: ......................... pounds) each month.
Commencing the first day of .................................
(Choose month and year)
Continue until you receive further notice from me/us in writing.
Debit my/our account no ........................................... (Please show your a/c number and name)
In the name(s) of
...............................................
Signature(s)
...............................................
Name:
............................................... (Your name & address)
Address:
...............................................
...............................................
...............................................