|
Banker's Order |
|
|
| The Hon. Treasurer, The Pembridge
Association c/o 13 Rodney House, 12-13 Pembridge Crescent, London W11 3DY |
To......................................................................................BANK Sortcode:...................... Account No ........................... |
Bank Address ......................................................................................................................................................................... |
Please immediately pay to the credit of the Pembridge Association at NatWest Bank Ltd, 46 Notting Hill Gate, London W11 3HZ Sortcode 60-15-33 Account No: 51098067 my subscription of £.................and continue the same on 1st January annually until further notice. Name (Mr/Mrs/Miss/Ms/Title)..................................................................................................... Address................................................................................................................................... ............................................................................................................................................... ............................................................................................................................................... Signature....................................................................................Date....................................... |
You can print out this form (or the separate Bank SO Form.pdf) and send it to the address given above. |
© The Pembridge Association
Last Revised:20/02/2007