Paying for Membership by Standing Order



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If you have an account with a UK-based bank or building society, you can pay for your membership by Standing Order by completing the form below. You will need to print out the form and add your signature(s) before sending it to the Society.

To the Manager

Name of your Bank / Building Society
Bank / BS Address
Address (cont.)
Town / City
County
Postcode
Name(s) of Account Holder(s)

Please debit my account shown below:

Account No.
Bank Sort Code (shown in the format XX-XX-XX on your cheques or debit card)
Signature(s)
Signature(s)
Date

Please pay The Alexander Thomson Society the sum of

on

and thereafter annually on the same day each year until further notice. This order cancels all previous agreements in favour of The Alexander Thomson Society. I can cancel this agreement in writing at any time.

To the receiving bank:
Please send to Bank of Scotland, 11 Renfield Street, Glasgow G2 5EZ (Sort Code 80–54–01) for the credit of The Alexander Thomson Society (Account Nº00873301).

Please quote Reference...................................

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Last updated: 01/Feb/03