Standing Order Form

To the Manager:-
________________________________ Bank plc
Branch Address:-
________________________________
________________________________
________________________________
Post Code
______________
Bank Sort Code
______________
Bank Account number
______________
Account held in name(s)
________________________________
Please pay to:-

HSBC plc
15 Load Street
Bewdley
Worcestershire

For the credit of:-
Bewdley Festival Society
Bank Sort Code:-
40 -10 -13
Bank Account number:-
31159739
The sum of:-
£ __________
Amount in words:-
________________________________
on receipt of this Standing Order and annually on the 2nd January thereafter, until notified by me.
Signature:-
________________________________
Date:-
______________

Please send completed form to:

Membership Secretary
Bewdley Festival Society
Snuff Mill Warehouse
Park Lane
Bewdley
Worcs

DY12 2EL

(Please do not send it to your Bank or Building Society)