Old Coulsdon Bowling Club Ltd

  • 81 Couldson Road
  • Old Couldson
  • Coulsdon
  • Surrey
  • CR5 2LD

01737 552580
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Click here to download a PDF version of this form.


Outdoor Season 2020

 
STANDING ORDER MANDATE

 

to The Manager

Bank Name

 

Bank Address

 

From the following account…

Name on Account

 

Bank Account Number

 

Bank Sort Code

 

…please pay…

Payee Bank Name

Santander Commercial Bank

Payee Account Name:

Old Coulsdon Bowling Club Ltd.

Payee Sort Code:

09-07-20

Payee Account Number

05701864

Payment Amount

£36.00   (Thirty-six Pounds only)

Frequency

Monthly

Date of First Payment

25/ 04 /2020

Date of Last Payment

25/ 09 /2021

Total number of payments

6

Reference

OCBC

Your details

Print Name:

 

Address

 

 

 

 

Signature:

 

 

This form should be completed and forwarded to

your own bank   by Tuesday 14th April 2020