STANDING ORDER MANDATE FOR TWENTIETH CENTURY COMMUNIST HISTORY

Please print out and complete the form below in BLOCK CAPITALS

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

Bank's address: ......................................................................................... 
 
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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 72427949, the sum of £15.00 immediately and £20 annually thereafter on 31 January each year.

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

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

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

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

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