ALLIANCE & LEICESTER COMMERCIAL BANK STANDING ORDER


To: Your Bank (name)...............................................................................................................................

Your Branch(address)...................................................................................................................................


Please Pay:

Alliance & Leicester Commercial Bank plc Bootle Branch Sort Code 72-00-05

For the Credit of: Cambridge Rambling Club Account No. 42408805

Quoting Reference*: ...............................................

(* This should be your surname followed by initials if 2 members, provide both names & initials)

The sum of £4.00 (four pounds only) OR for couples, the sum of £8.00 (eight pounds only)
(please delete whichever not applicable)

Commencing now (delete if not applicable) & thereafter every 1st November, until further notice in writing, and debit my/our account accordingly:


Name of your Account ........................................................................

Your Account number.............................................

Name(s)............................................ Signature(s*).........................

(BLOCK CAPITALS PLEASE).... .................................(* IF 2 NEEDED)

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

......................................................................................................

......................................................................................................

......................................................................................................

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

Date..................../20

Please forward this form to the Bank branch which looks after your account. Please check your bank statement at the appropriate times to ensure that the Standing Order has been actioned. If not actioned, the Club Treasurer will assume you have not paid your subscription.