HOW TO JOIN STANDING ORDER Name of bank or building society Address of bank or building society Postcode
Name(s) of Account Holder(s)
Branch Sort Code Bank account or Building Society number Please pay DanceEast the sum of £
per month/per year
Starting from (please make this date at least one month from today) until further written notice
or until (date)
Signature
Date
Account Name: DanceEast Bank: Lloyds Bank, 13 Cornhill, Ipswich, IP1 1DG Sort Code: 30 - 94 - 55 Account Number: 43131268
CHEQUE I enclose a cheque for £
made payable to DanceEast
CARD Please debit my card for the sum of £ Visa
Mastercard
Visa Delta/Debit
Name on Card Expiry Date
Solo
UK Maestro Card Number
Security Number
Address of Cardholder Postcode
DANCEEAST.CO.UK 01473 295230
Visa Electron