Standing Order Form
Please complete the form below and return it to the address
at the bottom of the page.
Once we have received the completed form we will keep a
photocopy and send the original standing
order
1. Name (Mr/Mrs/Miss/Ms) |
Address | ||
Post Code |
Business Name |
I would like to pay Lloyds TSB Rochdale (30-97-11) Branch,
17
Street,
B VISIBLE CO
UK (Account NO, 01076350)
The
sum of: £2.00 each month until I give you further notice in writing.
2. Starting on | (When completing this section please
this will enable you to get maximum value)
|
|
3. Please insert your bank details
|
||||||||
Account Number | ||||||||
Bank Sort Code | - |
- |
To Manager (Bank name and address)
|
||
Post Code |
4.Signature(s):_______________________________Date:__________________
Please send this form to -
B-visible.co.uk
The Administrator will send the Standing
Order to your Bank.
Your Web Page Cannot Be Designed Until
This Form Is Received.