The 289 Register News No 42 Winter 2011 | Page 23

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