Guilden Sutton

Community Association

Registered Charity No: 510231

 

Quarterly Bank Standing Order Form

 

Please complete and return this form to the Lottery Promoter, John Riley,

 

8 Wood Croft, Guilden Sutton, Chester, CH3 7SS

 

Please do not send to your Bank.

 

 

 

The amount is £3.25 per quarter for each number entered.

 

 

Name and address

To:    …………………………………………………………

 

of your Bank

 

 

 

          ………………………………………………………..

 

 

 

 

 

          ………………………………………………………..

 

 

 

 

Sort Code

          ………-………-………

 

 

 

 

Your Account

Account Name:  …………………………………………….

 

details

 

 

 

Account No:      …………………………………………….

 

 

 

 

Please pay to the account of The Guilden Sutton Community Association Lottery

 

Account No: 80888666, National Westminster Bank Plc, 33 Eastgate Street, Chester,

 

CH1 1XA (Sort Code: 60-40-08) sums in accordance with the details shown below

 

until further notice.

 

 

 

 

 

Signed:  ……………………………………………….……………………………...

 

 

 

 

Amount of

£  ……………………………..(in figures)

 

quarterly payment

 

 

 

    …………………………...……………………..(in words)

 

 

 

 

Date of first

On:  …………………………………………………………

 

payment

 

 

 

 

 

and thereafter on the 1st February, 1st May, 1st August and 1st November each year

 

until further notice.