Standing Order (INSTRUCTIONS TO BANK)

Please complete parts 1 - 10 in BLOCK CAPITALS  to set up a standing order direct from your account.  Please complete and return this form to Country Landscapes Ltd.
  1. Name & Address of my Bank or Building Society
  2.   (Post Code)

    Please arrange a standing order to pay Country Landscapes Limited :- 
    Country Landscapes Sort Code (please leave blank we will fill this in) 

    Country Landscapes Account Code (leave blank)

     
  1. The amount of £
    Amount in words
  2. Starting (e.g. 01/03/2010):   and every 1st monthly thereafter until (date of last payment e.g. 01/10/2010) or until cancelled in writing stating account numbers.
  1. Then the amount of £
    Amount in words
  2. Starting (e.g. 01/03/2011):   and every 1st monthly thereafter until (date of last payment e.g. 01/10/2011) or until cancelled in writing stating account numbers. 

Debit my account :-

  1. Name/s of Account Holder/s                                                               
  2. My Sort Code

    My Account Code

     
  3. Name    
     
  4. Signed:

    Date:     
            

Please complete (should print on an A4 sheet) and return this form to Country Landscapes Ltd. Red Bank Red Lane Bolton BL2 5HL.  Telephone  01204 40 22 22

 

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