rollerski club - standing order form
Either use internet banking to set up your own regular payment to: Rollerski Instruction, A/C 61604937 Sort Code: 40-02-03 Or complete (print) the bankers order form:
To the Bank Manager (Name of Bank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Branch Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postcode . . . . . . . . . . . . . . . . .
Sort Code .........-.........-......... Account No. . . . . . . . . . . . . . . . . . . . .
Please pay Rollerski Instruction (rollerski club)
£ 20 / 30 every month (delete as applicable, £20 own equipment, £30 our equipment)
Start on ...../...../..... (date) until further notice.
Name (Mr/Ms/Mrs/Miss/Dr). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Signature . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Postcode. . . . . . . . . . . . . . . . . . . .
FOR BANK USE: Please use our ref: A/C 61604937 Sort Code: 40-02-03
Please cut out the completed Standing Order form and bring it along to a club session or send it to:
The Rollerski Co, 20 Brookfield, London N6 6AS |