To become a member of the 250 Club, please complete and return the Standing Order mandate to:
David H. Gilbert, Club Administrator, 6, Kenilworth Avenue, Handforth, Wilmslow, Cheshire. SK9 3DP
STANDING ORDER MANDATE
To____________________________________________Bank plc
Branch ________________________________________
Address______________________________________________________________
Please pay £_______ on the 1st day of each month, commencing on ______________
until further notice, or until cancelled in writing by me, for credit of the following:
Bank / Branch: Royal Bank of Scotland, Grove Lane, Wilmslow, Cheshire.
Sort Code: 16 34 24
Credit Account: Grove Park 250 Club
Account Number: 10119690
Quoting Reference _____________________ (Your Account Name)
Please debit my account with yourselves, as quoted below:
Account Number:___________________Name:______________________________
Address / Post Code:____________________________________________________
Telephone number:___________________Signature of Account Holder__________________