Read Microsoft Word - StandingOrderFormAdult.doc text version


a savings & loans co-operative


Name and address of your BANK

(Adult Member)

Harlowsave Credit Union Ltd 2 Wych Elm Harlow, Essex CM20 1QP

Your Name.................................................. Your Member Number _________ (if known)

Please pay: Unity Trust Bank Plc , Sort code: 08-60-01 Account number: 53100339 Account name: Harlowsave Credit Union Ltd The sum of £_____________ ______________________ pounds and _______________ pence

on 5th/18th/28th of ___________________________________ 200___ and then £ ___________ at *weekly / fortnightly / monthly intervals until cancelled by me/us in writing. (Note: some banks do not allow fortnightly.) * DELETE THOSE THAT DON'T APPLY. * This replaces a previous standing order for the transfer of £ _________ to the same account. *DELETE IF NONE EXISTING The name(s) on your account (print): ________________________________________________________

Account number __________________________________________Sort Code ______________________

Signature ____________________________________________________Date: _____________________

Please return this form to the office, not direct to the bank.

Harlowsave Credit Union Ltd is authorised and regulated by Financial Services Authority. Firm ref. no. 213273


Microsoft Word - StandingOrderFormAdult.doc

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