 - (Registered Charity No. 1084279)
BANKER'S ORDER FORM To: (your bank)_______________________________________________________
Address_____________________________________________________________
____________________________________________________________________
Postcode____________________________________________________________
Please pay to the SUFFOLK RECORDS SOCIETY CHARTERS SERIES (Account No 00006831) at CafCash Ltd, Kings' Hill, West Malling, Kent (Code 40-52-40) the sum of £12.00 (Twelve pounds) on the
___________day of__________________________20_____________________
and thereafter on the 1st of May in each succeeding year until further notice, and debit my/our account accordingly.
This order cancels any previous order in favour of the beneficiary above payable to this account number.
Name (in capitals)_____________________________________________________
Address_____________________________________________________________
____________________________________________________________________
____________________________________________________________________
Postcode____________________________________________________________
My account number___________________________________________________
Signed_____________________________________Date_____________________ -
This completed form should be returned to Hon Secretary, Claire Barker MA,
Westhorpe Lodge, Westhorpe, Stowmarket, IP14 4TA.
|