THE NATIONAL AURICULA & PRIMULA SOCIETY (Southern Section)

Please complete, print and post this form for Standing Order payment

To: The Hon. Sectetary:-

L. Wigley, 67, Warnham Court Road,Carshalton Beeches, Surrey, SM5 3ND
THE NATIONAL AURICULA & PRIMULA SOCIETY (SOUTHERN SECTION)
BANKERS ORDER
To (BANK):
BRANCH:
Please transfer from my/our account No:
The payments shown below to the credit of:-
THE NATIONAL AURICULA AND PRIMULA SOCIETY(SOUTHERN SECTION)
THE COOPERATIVE BANK 08-90-13 2/6, ALMA STREET, LUTON, BEDS. LU1 2PL
ACCOUNT No. 50117134
the sum of £
on(date)
and annually on 1st January until further notice from me/us in writing
Your name
Address
Signature
Date