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STANDING ORDER FORM
To the Manager:
Name of Bank: .......................................................................
Bank Address: ........................................................................
..............................................................................................
..............................................................................................
Name (as on cheques) BLOCK CAPITALS PLEASE
..............................................................................................
My account number: .................................................................
Sort Code ........... / .......... / ..........
Please pay from the above account the sum of £ __________, being my subscriptions to The Lynsted with Kingsdown Society, and credit
Account No: 03865546 (Lynsted with Kingsdown Society Account) at Lloyds TSB, 44 Court Street, Faversham, Kent ME13 7AP.
Sort Code 30 91 60
Date of First Payment: Immediately and thereafter annually on 1st January
Signature: ............................................................
Date: ....................................................................
This standing order supersedes and cancels any previous standing order made by me in favour of the Lynsted with Kingsdown Society.
Please complete this form and send direct to your bank
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