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:……………………………………..