STANDING ORDER FORM
THE GLOUCESTER CITY CYCLING CLUB
Supported by : Rudy Project

 To…………………………………………………………Bank

 Date  …………………..

 Please pay to Alliance and Leicester Bank Commercial Bank plc, Bootle

Sort Code 72-00-05

For credit of Gloucester City Cycling Club

Account No. 58455182

 The sum of £……………… commencing on  ……………. and

thereafter every year until further notice and debit my account

 Sort code No ..  ..  ..    Account No…………….

Account Name………………………………….

Quoting Reference Subscription.

 Name (block capitals)………………………………….. Signature………………

 Address…………………………………..                     Date……………

……………………………………………

……………………………………………

……………………………………………Post Code………………..

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