Suffolk Records Society
Registered Charity No 1084279
GENERAL SERIES STANDING ORDER FORM
To: (your Bank) _______________________________________________________
Address_____________________________________________________________
______________________________________________Postcode ______________
Account Name ________________________________________________________
Account number__________________________ Sort Code __________________
Please pay to the SUFFOLK RECORDS SOCIETY (Account No 00006869) at Caf Bank
Ltd, Kings' Hill, West Malling, Kent (Sort Code 40-52-40) the sum of £12.50 (Twelve
pounds and fifty pence) NOW and on the 1st October each succeeding year until further
notice. Please reference the payment with the following Membership Number: ______.
THIS ORDER CANCELS ANY PREVIOUS ORDER PAYABLE TO THIS ACCOUNT NUMBER
Name (in capitals) ____________________________________________________
Address____________________________________________________________
___________________________________________________________________
___________________________________________________________________
Postcode______________ Email address ________________________________
Signed ___________________________________Date_____________________
This completed form should be returned direct to:
Mrs Tanya Christian, SRS Membership Secretary,
8 Orchid Way, Needham Market, Suffolk, IP6 8JQ
Registered Address: Westhorpe Lodge, Westhorpe, Stowmarket, Suffolk IP14 4TA.Tel: 01449 781078
Email: [email protected] Website: www.suffolkrecordssociety.com