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 (BlockCapitals)………………………………………………………………………….
Address……………………………………………………………………………………………………………………..
…………………………………………………………………………………………………………………………………
Telephone:……………………………………..