Standing order form by HC120712113932

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									        1st Alcester Scout Group Standing Order Form
Please Return to:-
Mike Dean
Membership Secretary
2 Abbey Close
Alcester
Warwickshire
B49 5QW

Customer Details
Account in the name(s) of

Bank & Branch Name

Account Number
Sort Code
Instruction Details                     Pay To
                                        1st Alcester Scout Group - Membership
Does this Authority replace an          Lloyds Bank - Alcester Branch
  existing Standing Order               A/C 0928381
                            Yes         Sort Code 30-98-26
                            No          Ref No
Payment Details
Amount of First Payment
Date of first Payment
Frequency                        Monthly
Amount of Usual Payment in Words

Time of payment                         First day of every month
Please continue until further notice
Customer Signature

Telephone Number
Date
                                        For Bank Use Only
Instruction Taken By
Where Taken
Date
Time
Customer Identified                     Beneficiary / Originator Details
Signature                               P P Instructions checked for
Standard ID                             matching S/O       Yes
Other                                                       No
Payment Details                         Clarified with     Yes
Is Payment due today or Yes              with Customer No
tomorrow                     No
If yes please advise specialist staff   immediately by fax/ phone for action

								
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