Rollerski Club - Standing Order

It is best to use internet banking to set up your own regular payment to: Rollerski Instruction, A/C 61604937 Sort Code: 40-02-03. Please put in the 'Reference' the venue you will attend most often, Hyde Park or Olympic Park.

SENIOR - £59 / £78 every month (delete as applicable, £59 if you use your own equipment and £78 if you need to borrow our equipment). Membership including equipment hire also includes equipment hire at our 1-day courses.

JUNIOR / STUDENT - £25 / £37 every month (delete as applicable, £25 if you use your own equipment and £37 if you need to borrow our equipment). Membership including equipment hire also includes equipment hire at our 1-day courses.

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Or you can manually fill out and send this instruction to your bank manager -

Start on ...../...../..... (date) until further notice.

To the Bank Manager (Name of Bank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Branch Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Postcode . . . . . . . . . . . . . . . . .

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

Name (Mr/Ms/Mrs/Miss/Dr). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .

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Postcode. . . . . . . . . . . . . . . . . . . .

FOR BANK USE: Bank account name is Rollerski Instruction. Please use our ref: A/C 61604937 Sort Code: 40-02-03

Please send this to your bank, with instructions to set up this standing order.