|
Please print this off and complete and send to your bank with a
copy to us.
| STANDING
ORDER MANDATE |
| TO:
(Your Bank & Branch) |
|
| New
Instruction |
Yes |
| ACCOUNT
TO BE DEBITED |
BENEFICIARY
DETAILS |
| SORT CODE |
|
|
|
|
|
|
|
|
Bank Name |
Barclays |
| Account No. |
|
|
|
|
|
|
|
|
|
Ormskirk |
| Account Name |
|
Sort Code |
|
|
2 |
0 |
8 |
0 |
3 |
3 |
| |
|
Account No. |
2 |
0 |
6 |
1 |
2 |
0 |
5 |
7 |
| |
|
Beneficiary
Name |
NoiseNet.Org
Ltd |
| |
|
Reference |
|
| PAYMENT
DETAILS |
| Annual
Payment |
|
|
|
| Date of Payment |
|
|
|
| Amount in Words |
|
|
|
| |
|
|
|
| Please
continue payments until further notice |
Yes |
| |
|
Date |
|
|
|
| Customer
Signature(s) |
|
|
|
| Customer
Contact Tel. |
|
|
|
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Back to Directory
|
