STANDING ORDER MANDATE

 

SEFTON PARK CRICKET CLUB - PLAYING MEMBERSHIP

 

Please complete this form and return to SEFTON PARK CC, CROXTETH DRIVE, LIVERPOOL L17 1AP. New members please enclose a completed application form.

 

FULL PLAYING MEMBERSHIP (4 PAYMENTS OF 25.00)

STUDENT PLAYING MEMBERSHIP (4 PAYMENTS OF 12.50)

 

 

BANK

 

 

 

 

 

ADDRESS

 

 

 

 

 

SORT CODE

 

 

 

ACCOUNT NUMBER

 

 

 

 

NAME OF ACCOUNT

 

 

 

PLEASE TRANSFER FROM THE ABOVE ACCOUNT TO THE CREDIT OF:

 

SEFTON PARK CRICKET CLUB

BANK: ALLIANCE AND LEICESTER SORT CODE: 72-00-01

BRANCH: COMMERCIAL BANK, BOOTLE, MERSEYSIDE GIR 0AA ACCOUNT NUMBER: 85758304

 

 

REFERENCE NUMBER ________________________________________________________

 

THE SUM OF 12.50 (STUDENT) / 25.00 (FULL) (PLEASE DELETE AS APPROPRIATE)

 

ON THE FIFTEENTH DAY OF MAY, JUNE, JULY AND AUGUST EACH YEAR UNTIL CANCELLED BY THE SIGNATORY/IES IN WRITING.

 

 

NAME

 

 

 

ADDRESS

 

 

 

 

 

 

POSTCODE

 

 

 

 

 

SIGNED ___________________________________________ DATE ____________________________