St Philip and St James Area Residents Association (SPJARA)
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        • Gloucester Cathedral visit April 2019
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STANDING ORDER MANDATE
We welcome payment by annual Standing Order.
You can do that online with your bank or if you prefer, just print and fill in this mandate below and include it with your membership form.

STANDING ORDER MANDATE

Your account details:
     
Your Bank/Building Society Name and Address:____________________________________________
 
Bank Branch Postcode:_____________

Name of Account Holder:___________________________________

Account Number:________________

Sort Code:____/______/______

 
Instruction to your Bank:
Please set up the following Standing Order to SPJARA and debit my account accordingly.

 
Bank: Lloyds TSB
Sort code:  30-90-54      
Account Name: SPJARA
Account no.:  04684759         
 
Reference:                  [Your full name]
 
Regular amount:         [£5.00 for one, £7.50 for two at same address]
Date of first payment:
Frequency:                  Annually
Expiry date:                 Until further notice/ or [insert date]                            
 
I/we authorise you to debit my/our account in accordance with the standing order instructions above
 
            Name:
 
            Signature:
 
            Date:
 

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