Downderry and Seaton Community Fund Bank Standing Order Mandate

Please print off, complete and send to your Bank

Name of Bank ………………………………………………………………………………………………………………..

Address ……………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………….

Please tick relevant box:

New Instruction

ACCOUNT TO BE DEBITED: BENEFICIARY DETAILS

BRANCH DETAILS
Bridle Road, Bootle, L30 4GB

SORT CODE - 09 01 53

ACCOUNT NUMBER - 8964289

BENEFICIARY NAME
Downderry & Seaton Residents Association

REFERENCE
Community Assets Fund

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PAYMENT DETAILS

AMOUNT OF FIRST PAYMENT £

DATE OF FIRST PAYMENT

AMOUNT OF USUAL PAYMENT £

AMOUNT OF USUAL PAYMENT IN WORDS

TO BE PAID
MONTHLY/ QUARTERLY/ ANNUALLY/ DATE OF USUAL PAYMENT

PLEASE CONTINUE PAYMENT UNTIL FURTHER NOTICE

CUSTOMER SIGNATURE(S) ……………………………………………… DATE

CUSTOMER CONTACT TELEPHONE NO:
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All boxes must be completed in order for the standing order to be processed

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