SUTTON UNITED's LUCKY STRIKER by D5D29A5

VIEWS: 3 PAGES: 2

									             SUTTON UNITED'S "UNITED WE STAND" INITIATIVE

                         MONTHLY PRIZE DRAW

Please complete this application form and return it to:
UNITED WE STAND INITIATIVE, c/o Adrian Barry, 7 Fairview Road,
Sutton, Surrey SM1 4PD

I would like to join Sutton United's United We Stand monthly prize draw
commencing from
____ / ____ / ____

The scheme runs from August 2012 to April 2013 inclusive.

YOUR DETAILS
Full Name Mr / Mrs / Miss

Contact
Address
(inc. post
code)

Contact                            E-mail
Telephone                          Address
No.

     I would like to pay for one year's membership of the scheme and
     enclose a cheque for £75.00 made payable to "Sutton United Football
     Club".

     I would like to pay monthly by Standing Order and have completed the
     mandate below
STANDING ORDER MANDATE

To the Manager                                                                   Bank

                                                             (Bank's Address)

                   Bank              Branch Title             Sort Code
Please pay       NAT WEST            SUTTON ST                 60-21-08
                 BANK PLC            NICHOLAS
                                      CENTRE

                    Beneficiary's Name                      Account Number
To the        SUTTON UNITED FOOTBALL CLUB                      02156105
credit of                  LTD


             Regular amount             Regular amount in words
               in figures
In the           * £9.50            NINE POUNDS AND FIFTY PENCE
amount of


              Date and amount                                Due date and
              of first payment    AND THEREAFTER              frequency
Commenci     *01/08/1 * £9.50          EVERY                    MONTH
ng           2/
             -/-/-/


Payments are to continue until 01/04/13 inclusive or until further notice
                        by me / us in writing.

     Account Name                Account Number                Sort Code



                                     FOR OFFICE USE ONLY
Please quote payee's name and our reference                   on all payments.


Signed:                                             Date:

								
To top