STANDING ORDER MANDATE
To: The Manager
Bank Name (i.e. your bank): _______________________________________________________
Bank Address __________________________________________________________________
_____________________________________________________________________________
Please pay:
Santander - Business Banking, Bridle Road, Bootle L30 4GB
For the credit of: THE 289 REGISTER
Bank Details:
Account Number 52106186
Sort Code
09-07-25
The sum of:
£25.00 (Twenty Five Pounds)
Payment Reference (your name required so we can identify your payment)
____________________________________________________________________________
Commencing on 2nd January 2012 and thereafter annually until further notice and debit my
account accordingly:
Account to be debited: (Payees bank account name) __________________________________
Account number:_________________________________________________________________
Sort code: _____________________________________________________________________
Signature:____________________________________________________________________
Date:________________________________________________________________________
This Standing Order Mandate supersedes any previous standing orders to THE 289 REGISTER
Note:- Please copy, fill in and send this form, signed and dated directly to your own bank