STANDING ORDER MANDATE

1: Please complete all the white boxes on the Standing Order Mandate below
2: Print the Mandate via the print button at the bottom
3: Sign & Date it and then return it to:

 TJ Race
288 High Road
Trimley St Martin
FELIXSTOWE   IP11 0RH
               
 To: Bank

Branch:

  
  Postal Address:
  Post Code:            
               
 Please Credit:

Name:

  TJ RACE

 

        Bank: NATWEST

Branch: 

 FELIXSTOWE  
Account Number:  13696424

 

 Sort Code: 60-08-17

Reference: 

 KARATE CLUB
               
  Amount of First Payment:                £ 3.00 Date of First Payment:  NOW
  Amount of First Payment in Words: THREE POUNDS ONLY  
      
  Amount of Normal Payment:  £ 3.00 Date of Normal Payment:  3RD OF EACH MONTH
  Amount of Normal Payment in Words: THREE POUNDS ONLY UNTIL FURTHER NOTICE
         
 Please Debit: Account Name:          
  Account Number:

    Sort Code: --

 
               
 

Signature (Must Be Completed):_______________________________________

Print Name: ________________________________Dated: ____ - ____ - ____

    
     
     
     
               
 Your Details:              
  Name: 

  http://

  
  Postal Address:
  Post Code:                   Email Address:  
  Telephone:                                Fax:         
                
  Please Note: The Bank will not undertake to:

(i)

(ii)
(iii)
(iv)

   make any reference to Value Added Tax,
  or other indeterminate element
  advise payers address to beneficiary
  advise beneficiary of inability to pay
  request beneficiary's banker to advise beneficiary of receipt
    For Office Use Only

 

  
 

Bank / Customer Notice
If you have any queries, please write to:
TJ Race
288 High Road
Trimley St Martin
FELIXSTOWE   IP11 0RH
or alternatively email us at:
admin@ukkarate.com

 
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