STANDING ORDER MANDATE FOR NEW FORMATIONS

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 64716457, the sum of £30.00 immediately and £40 annually thereafter on 31January each year.

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

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

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

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

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

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