STANDING ORDER MANDATE

(Please complete in BLOCK CAPITALS)
To the Manager
(Your Bank's name)   _________________________________________________
(Branch address)       _________________________________________________
                                _________________________________________________
                                _________________________________________________

ACCOUNT TO BE DEBITED

(Your Bank Account details)
Account Number    ___________________________________________________
Account Name       ___________________________________________________
Bank Sort Code     ____-____-____

BENEFICIARY DETAILS

Barclays Bank Plc
Leicester, LE87 2BB
Sort Code: 20-30-89
Beneficiary name: UK Cherub Class Owners Assoc
Account Number: 50255912
Reference Cherub Assoc Subs

PAYMENT DETAILS

PLEASE PAY ON PRESENTATION and on the first day of March of each succeeding year,
until countermanded, the sum of Thirty pounds/twenty pounds/ten pounds* ( £30.00 / £20.00 / £10.00)*

 

Signature       _____________________
Date             _____________

Please return this form with your membership form to

Hon. Secretary, U.K.C.C.O.A.
Lucy Lee
32 Kennet Street,
London
E1W 2JA
07855 862 009

* Subscriptions
Full Membership                       £30.00
Student Discount Membership   £20.00
Associate Membership             £10.00
(Delete as appropriate)