Squad Strengthener Standing order form

Date published: Friday, February 15, 2013

ORSA SQUAD STRENGTHENER 2013.

 

MEMBERSHIP FORM

 

Name________________________________________________________________

 

Address___________________________________________

___________________________________________________________________________________________

Phone number______________________________________________

Email______________________________________________________

I enclose cheque for £_______________

Standing Order Instruction

 

To the Manager

Name of bank_________________________________________________________

 

Address of bank______________________________________________________

 

Please make payments detailed below and debit my account on the first banking day of each month.

 

Account Number_______________________________________________________

 

Sort Code____________________________________________________________

 

Amount of payment £__________________________________________________

 

Date of first payment____________________________________________________

(Payment will continue until further notice.)

 

Signed_______________________________________________________________

 

Date_________________________________________________________________

 

This amount should be credited to the following account:

HSBC Bank plc, 109 Union Street, Oldham, OL1 1RT

Account Name: ORSA SQUAD STRENGTHENER

Sort Code: 40-35-26

Account Number: 91856618

If you prefer to write a cheque for the whole twelve months the cheque should be made out to ORSA Squad Strengthener

Standing Order forms or cheques should be sent to Sheila Somerville, 48 Great Meadow, Shaw, OLDHAM, OL2 7PX