PENTYRCH CRICKET CLUB
STANDING ORDER AUTHORITY
On the first day
of_____________________, please deduct the amount of £12 on an ANNUAL basis, to remain in force until cancelled in
writing.
This sum to be
credited to:-
Bank: Cooperative Bank PLC. The Hayes, Cardiff
Sort Code: 08-90-03
Account name Pentyrch
& Old Monktonians C C 200 Club
Account No.: 50617508
Name
Address --------------------------------------------------
Bank Name & Address ---------------------------
--------------------------------------------------
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Sort Code ------------------------ Account
Number ------------------------
Signature
Please return this
form to:- James L Watkins
Mistleby
Crescent
Road
Caerphilly
CF83 1AB