The Beauford Club

17 Brooklime Drive, Rugby, CV23 0SF  Tel 01788 547033

 

 Standing Order Instruction Form    

 

 

 

Your Details

 

Account Holder(s) Name …………………………………………………………………

 

 

Bank……………………………………………

 

Sort Code

 

 

-

 

 

-

 

 

 

 

Account No.

 

 

 

 

 

 

 

 

Signature ………………………………………………….                          Date ……………………………….

 

 

 


Beneficiary:        The Beauford Club

 

Bank:     HSBC Bank plc

                15 Church Street

                Rugby CV21 3PN

                UK

 

Sort Code

4

0

-

3

9

-

1

1

 

 

Account No.

8

2

0

9

5

2

0

3

 

Reference (your membership Number)

Or name if new member  

 

 

 

Amount

£

Amount in words

 pounds

 

Date of First payment

 

1st March 2021

 

To be paid annually on the lst March until further notice

 

 

PLEASE COMPLETE AND RETURN FORM TO YOUR OWN BANK.