http://www.bathgeolsoc.org.uk/
STANDING ORDER MANDATE
To my Bank:
Postal Address:
Please pay by banker’s standing order, cancelling any previous instructions regarding this payee:
To (Bank): HSBC , 45 Milsom Street, Bath. BA1 1DU
Sort Code: 40-09-19 Account Number: 7126-2556
Name of Account: BATH GEOLOGICAL SOCIETY
Amount (Figures) £30.00
Amount (Words) Thirty Pounds
Date of First Payment:
Payment Due Date: 1st January
Frequency: Annually
Until further notice and debit my account:
Name of my account:
My account number:
Sort Code:
I hereby authorise you to set-up this standing order payment on my account:
Signed: ………………………………………. Date: ……………………….
Name (Block Capitals) ………………………………………………………………..
Address:
Telephone:
Either: send to your bank and inform the Membership Secretary ([email protected]) / or send form to P Sternbauer, Flat 4 Somerset House, Moorfields Road, Bath, BA2 2HU.
Or, if you have electronic banking, you can set up the payment yourself, be sure to include your name in the reference line.
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