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STANDING ORDER SET UP FORM The Manager ______________________________ Bank Address ______________________________ ______________________________Date: __ __ / __ __ / __ __ Please debit my account NSC: __ __ __ __ __ __ Account No: __ __ __ __ __ __ __ __ Sender Name: __________________________________________ Amount: â‚Ź__ __ __. __ __ (in words) ________________________ ________________________ Credit: AER LINGUS SWIMMING CLUB NSC: 985011

A/c: 05027072

Ulster Bank Dublin Airport Reference: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (18 digits) Please include ALSC Membership account number in reference

Please allow 5 working days prior to first payment Start Date: __ __ / __ __ / __ __ Frequency ______________ (Quarterly, Monthly, Fortnightly, Weekly) Until Further Notice __ ( ) or final date __ __ / __ __ / __ __ SIGNED: __________________________________________________

/Standing-Order-set-up-form  

http://www.alswimclub.com/wp-content/uploads/2011/04/Standing-Order-set-up-form.pdf

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