Name of your Bank __________________________________________________
Address of your Bank _________________________________________________
___________________________________________________________________
___________________________________________________ Post Code: ______
1. Please CANCEL all existing Standing Order Instructions in favour of the Shropshire Ornithological Society forthwith.
2. Please ACTION the new Standing Order Instructions as follows:
Please Pay: Shropshire Ornithological Society
at: Barclays Bank plc. 23 Church Street, Wellington, Telford.
Account No:....................... (TO BE COMPLETED BY SOS)
Sort Code:........-...........-.......... (TO BE COMPLETED BY SOS)
The Sum of:
£________________(Amount in figures)
£__________________________________________(Amount in words)
Commencing NOW and thereafter annually on and from 1st January _______ until further notice in writing and debit my/our account accordingly.
Account Number: ____________________________________
Sort Code:_____________________
Account Name: ______________________________________
Signature(s) _________________________________________
Your Address: _______________________________________
___________________________________________________
Date: _________________________
For Office Use Only:
SOS Reference Number: ____________________