STANDING ORDER AUTHORITY

Please complete this form, print it, sign it and send it to your Bank.

  To Bank
  Address
   
  Town
  City
  County
  Post Code
  Sort Code
  Account Number
 
  Pay To Lloyds TSB
Surrey Street
Norwich
Norfolk
NR1 3NF		 Sort Code : 77-66-01
 
 
  Account Name : Norfolk Fencing Club
  Account No : 56842960
 
This order cancels any previous Banker's order in favour of 'Norfolk Fencing Club'.
Please pay at monthly intervals, commencing day of ,

and until further notice, the sum of Pounds.
 
  Customer's Name
  Customer's Signature ..............................................................................................