Standing Order Form


 Standing Order Form (2008 Membership Subscriptions)

Members Name   : ___________________________________________________

Address        : 	___________________________________________________

                	 ___________________________________________________

                 	___________________________________________________

                 	___________________________________________________

Please complete Parts 1 – 5

1.     To: The Manager

                                                                                    Bank or Building Society

        Address

                                                                                                   Postcode

2.     Name(S) of account holder(S)

3.      Branch sort code

                -       -

4.     Bank or Building Society Account Number

5.     Instruction to your Bank or Building Society :

Please pay Cronkbourne Sports & Social Club Limited – Cricket Account.

Account no. 2920652 & sort code 30-12-80.  4 x £17.50 Standing Orders, as scheduled below

1^st Payment £17.50 on May 2006

2^nd Payment £17.50 on June 2006

3^rd Payment £17.50 on July 2006

4^th Payment £17.50 on August 2006

        Signature(s) __________________________________________ Date ________________________

                                                                                                                   Date ________________________