Standing Order Mandate To Section Your details Your full name by johnrr2


									                                  Standing Order Mandate


Section 1

Your details:

Your full name:

Bank account to be debited

Bank Name:

Sort code:                                             Account No:

Your contact telephone number:

Section 2
Standing order details

Does this instruction replace an existing standing order or direct debit instruction? NO

Please pay:

Account Name:       The National Film and Television School
Current Account No: 03572732
Sort Code:          30-00-08

                           Lloyds TSB Bank Plc
                           Pall Mall St James’ Branch
                           8 – 10 Waterloo Place
                           SW1Y 4BE

First Payment due:                   the amount of £                      (                       )
                                                                                Amount in words

Then monthly/quarterly/annually (delete as appropriate)

from                                 the amount of £                      (                       )
                                                                                Amount in words

Your payment reference:

I authorise you to debit my account, in accordance with details in section 2

This request is addressed to the bank which holds my account.

Signature(s):                                                   Date:

Please return this form to NFTS Fundraising Appeal, National Film & Television School, Beaconsfield
Studios, Station Road, Beaconsfield, HP9 1LG. Contact telephone number: 01494 731426

To top