Once complete, please return this form to your own bank

To the Manager,..................................Bank PLC.
Address: ............................................................
 ........................................................................
 ........................................................................
 ........................................................................

Please Pay: 7thA Rochdale (Spotland Methodist) Scout Group,

Sort Code: 20-72-67

Account Number: 40762725

Barclays Bank PLC,
1 Yorkshire Street,
Rochdale,
Lanc's.
OL16 1BJ.

A usual payment of £5.00, commencing 1st Day of ...................................2000,

and on the 1st of each month, until further notice.

Reference: ....................................................................

Account to be debited: .................................................

Account Number: ........................................................

Please cancel any previous Standing Order in favour of 7thA Rochdale(Spotland Methodist) Scout Group, under the above Reference.

Signatures: ...................................................................

.....................................................................................   Date: ...................................

Some Banks may refuse to accept standing orders for some types of account.

Copyright © 7thA Rochdale Scout Group 2000