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:
……………………………