Standing Order Request
To: The Manager
_______________________________________________________________ Bank
_______________________________________________________________
Please pay either the sum of ten pounds (£10) single or fifteen pounds (£15) joint to the following account:
Bank: Lloyds Bank
Branch: Salisbury
Sort Code: 30-97-41
Account: The Downton Society Account No 04041901
Quoting member’s name: ________________________________
Frequency: One payment immediately, then annually on 2nd of January
Please debit my/our account:
Sort Code: __________________________
Account Number: __________________________
In the name of: __________________________
Signed: _________________________
Date: __________________________
Please complete this form and return to your bank. You can also set this up on your internet banking facility using the above account details. Any problems please contact Susan Barnhurst-Davies 01725 512963