Print this page - complete your details - send to the Secretary

To the Manager:

Name of Bank: ....................................................................................

Bank Address: .....................................................................................

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Name (as on cheques) BLOCK CAPITALS PLEASE

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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 return completed form to:

Membership Secretary
Lynsted with Kingsdown Society,
Beggars Roost
Lynsted,
Sittingbourne, Kent, ME9 0RL