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 Red Bank, Red Lane, Bolton, BL2 5HL

  1. Name & Address of my Bank or Building Society
  2.   (Post Code)

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

    Account Code (leave blank)

  1. The amount of
    Amount in words
  2. Starting (e.g. 1/4/2016):   and monthly thereafter 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:


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