Printable Standing Order Mandate

Standing Order Mandate

To my bank:……………………………………………………………

Postal Address:………………………………………………………………………………………………………………………

Please pay by banker’s standing order, cancelling any previous instructions regarding this payee:
To (Bank): TSB
Sort Code: 30-90-15
Account Number: 00065278
Name of Account: FARRINGDON HORTICULTURAL SOCIETY
Amount (Figures): £5.00
Amount (Words): FIVE POUNDS
Date of First Payment: 1ST APRIL 20
Payment Due Date: 1ST APRIL
Frequency: ANNUALLY
Reference: FHS Membership Number
(Name & Phone Number Please)
Until further notice and debit my account:

Name of my account:……………………………….

My account number:…………………………………..

Sort Code:
I hereby authorize you to set-up this standing order payment on my account:

Signed: ……………………………

Date:……………………………

Name (Block Capitals) …………………………………………………………….

Address
………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………….

Telephone:
……………………………