STANDING ORDER MANDATE

To :   

HSBC

6 Market Place

Henley On Thames

Oxfordshire

RG9 2AN

            

Please set up a standing order from my account to pay :-

Beneficiary Name : Henley Rugby Football Club Limited

Beneficiary Sort Code 40-24-10

Beneficiary Account Number 71478095

Reference No. Club House

The sum of   £…………………………………. ( ………………………………………………………………………………………..)

Every     ………………………………………….(frequency)

Starting on……………………………………………… (date) and

to continue until ……………………………………. (date) *     or until further notice. *

*Delete as appropriate

My account details are :-

Sort code : …………………………....      Account No : …………………………………………………..……..

Account Name : ……………………………………………………..

 

Signed : …………………………………………………………………..

Date: ……………………………………………………………………..

COMPLETE AND RETURN TO

MARY WORSDELL

HENLEY RUGBY CLUB
DRY LEAS
MARLOW RD
RG9 2JA