To                                                        BANK   STANDING ORDER MANDATE

Postal Address                                                                                                                                 
 
Please Pay

Bank

Branch Title (Not Address)

Sorting Code Number
 

Norwich & Peterborough B.S

Kings Lynn

08-60-81
For The Credit Of

Beneficiary’s Name

Account Number

Quoting Reference

 

Kings Lynn F.C. Supporters Club

96515170

 
The sum of

Amount Of First Payment

Amount In Words
 

£10.00

Ten pounds
 

Date Of First Payment

Due Date And Frequency

 

20/08/07

20th of  every month
 

Date Of Last Payment

   
 

20/04/08

   

Debit my/our Account Accordingly
 
 

Name of Account to be Debited

  
 


 

  
 

Account Number

Sort Code
 


 

 
 

Signature(s)

Date
 

 
 

 

  
(Banks may decline to accept instructions to charge Standing Orders to certain types of Account other than Current Accounts)