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 ________________________200___

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

FROM:

Bank address:_________________________________________

_________________________________________

sort code:_________________ account no:____________________________

account holder's name &address__________________________________

________________________________________________________________

signed_____________________________________date__________________

please print, complete, sign and return this form to Friends of Northern Broadsides together
with your completed Friends application form.


BACK