| STANDING ORDER MANDATE FOR RENEWAL Please
print out and complete the form below in BLOCK CAPITALS Bank's
address: ......................................................................................... Name of account holder : ........................................................................... Please pay by standing order to the account of Lawrence & Wishart at National Westminster Bank, Stockwell, London SW8, sort Code 56-00-05, account number 87658704, the sum of £20 immediately and £27.50 annually thereafter on August 31 each year. NB: This replaces any previous standing order mandate you may hold for the credit of Renewal
Signed: ............................................................... Date: .................................... Your name: ........................................................................................................ Address: ............................................................................................................. ............................................................................................................................. Postcode: .................................... Email: ........................................................... Please
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