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.


Full member (combined Outdoor & Indoor 2020/2021)

 
STANDING ORDER MANDATE


to The Manager

Bank Name

 

Bank Address

 

 From the following account…

Name on Account

 

Account Number

 

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

£31.00  (Thirty-one pounds only)

Frequency

Monthly

Date of First Payment

25 / 04/ 2020

Date of Last Payment

25 / 03 / 2021

Total Number of Payments

12

Reference

OCBC

Your details

Print Name:

 

Address

 

 

 

Signature:

 

Date:

 

 

This form should be completed and forwarded to

your own bank by Tuesday 14th April 2020