Standing Order

FRIENDS OF NORTHERN BROADSIDES
annual membership renewal
STANDING ORDER FORM

Please pay Friends of Northern Broadsides the sum of £25 annually

on first day of ________________________20____

TO:

The Manager,  Barclays Bank plc, Commercial Street, Halifax HX1 1BG

account name: Friends of Northern Broadsides

sort code: 20 35 84      account no: 90753769 

Ref: (Friends membership no)_______________________

FROM:

Bank address:___________________________________________________

                      _____________________________________________________

sort code:_________________ account no:____________________________

account holder’s name &address____________________________________

________________________________________________________________

signed_____________________________________date__________________

please complete, sign  and return this form to Friends of Northern Broadsides, Room 139, E Mill, Dean Clough, Halifax, HX3 5AX