STANDING ORDER MANDATE
TO------------------------------------------------------------BANK
PLC
ADDRESS----------------------------------------------------------------------------------------------
| Please pay | Bank | Branch Title | Sort Code | Account Number | Account Name |
| Lloyds TSB | Rowcroft Stroud | 30-98-29 | 04027646 | Lluest Horse & Pony Trust |
| The sum of | Amount in figures | Amount in words |
| Starting | Date | Amount | until you receive further notice from me/us in writing. |
| 1st payment | £ | ||
| 2nd payment | £ | ||
| thereafter | 1st each calendar month |
£ |
| Quoting ref |
PLEASE
CANCEL ANY PREVIOUS STANDING ORDER OR DIRECT DEBIT IN FAVOUR OF
THE
BENEFICIARY NAMED ABOVE, UNDER THIS REFERENCE.
Account to
be debited:
| Account Name | |
| Account Number | |
| Sort Code |