STANDING ORDER MANDATE
Your bank
Your branch
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All these details as
printed on your cheques | |||
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Account
Number |
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Account
Name |
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BENEFICIARY DETAILS
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Bank |
Lloyds TSB | |||||||||||||||||||||||||||||||||
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Branch
Details |
Bridgwater, Somerset | |||||||||||||||||||||||||||||||||
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Sort
Code |
3 |
0 |
9 |
1 |
2 |
0 |
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Account
Number |
0 |
0 |
0 |
7 |
1 |
9 |
3 |
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Beneficiary
Name |
S |
W |
A |
N |
A |
G |
E |
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G |
S |
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A |
S |
S |
O |
C |
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Reference
* |
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Enter here your School name and initials
PAYMENT
DETAILS
£……...(………...Pounds only) immediately/on*
...…/…...../….....…(date) and thereafter
Figures Words
*delete
one
£……...(………...Pounds only)
annually on January 1st until further notice.
Figures Words
Customer
Signature
__________________________________
Date _____________
Customer Contact
Telephone Number ________________________________________
Please
ensure that this mandate is fully completed including the reference in
the beneficiary details section and is signed and
dated