Ware (Old Hertfordians) Cricket Club

Standing Order Mandate

Please complete all shaded areas of the form.

Details of your account

1. Name and postal address of your Bank or Building Society Branch

  To: The Manager, ______________________________________________ Bank / Building Society

  Address __________________________________________________________________________

  __________________________________________________________ Postcode _______________ 

2. Name(s) of account holder(s)

3. Branch Sort Code

4. Account Number to be debited

Instructions to your Bank or Building Society

Please pay  Ware (Old Hertfordians) Cricket Club (Fundraising) 

Sort Code     3     0          9     9         8     6

Account       0     2     5     1     7     3    9

The sum of £         (number of required stakes per month x £2 per stake)

on the  1^st / 11^th / 21^st / 28^th (delete as required)   day of each month

commencing   ________            until further written notice.

5. Authorisation

    Signed: _____________________________

  Date:     _____________________________