Shrigley Association

By paying your annual subscription by standing order you will help the Association to be more efficient in achieving its objectives and also cost efficient in dealing with its finances.

Please consider paying by standing order.  The annual subscription is £10 each year and is due each year on 1st September.  You can of course include a donation in your standing order should you choose to do so.

Please complete the form below and send back to the Treasurer at the address below – we will forward it on to your bank.

(A standing order is an instruction from you to your bank.  Please contact your bank in the first instance if you have any queries about your payment.)

Surname………………………………………
Address ……………………………………………………………………………………………………………………………………
……………………………………………………………………………………………………………………………………………….
………………………………………………………Postcode ………………………………………………………………………….

Your Bank’s name ……………………………………………………………………………………………………………………

Your Bank’s address …………………………………………………………………………………………………………………
………………………………………………………Postcode …………………………………………………………………………

            Sort Code ….. / ….. / …..                  Account Number …………………………

            Name of Account Holder(s) ………………………………………………………

Please pay £ …….      (…………………....amount in words) every Year/Quarter/Month (delete as appropriate)
starting on the  …….………..day of …………………………………20……….
To Shrigley Account at Royal Bank of Scotland plc, 40 The Rock, Bury, Lancashire, BL9 0NX
Sort Code: 16-15-12                Account No: 10317978

Signed ………………………………………. Date …………………………        Ref: ………………………………….(office use)