STANDING ORDER MANDATE FOR SOUNDINGS (special offer)

Please print out and complete the form below in BLOCK CAPITALS

To: ..............................................................................................................(your bank)

Bank's address: ......................................................................................... 
 
........................................................................................................................ 

........................................................................................................................ 

Your account no: ............................................ Sort code: ........................

Name of account holder : ...........................................................................

Please pay by standing order to the account of Lawrence & Wishart at National Westminster Bank, Stockwell, London SW8, sort Code 60-20-31, account number 64716465, the sum of £20.00 immediately and £30 annually thereafter on 31 January each year.

NB: This replaces any previous standing order mandate you may hold for the credit of Soundings

Signed: ............................................................... Date: ....................................

Your name: ........................................................................................................

Address: .............................................................................................................

 .............................................................................................................................

Postcode: .................................... Email: ........................................................... 

Please return form to:
Soundings, FREEPOST, LON 176, London E9 5BR (no stamp needed)