Standing Order Instructions

Please Pay:

Bank	Branch Title	Sorting Code Number
Zurich Bank International Limited	Douglas, Isle of Man	16-52-34

For Credit of:

Payee Name	Account Number
Manx Road Club	11452002

Quoting:

Reference

The Sum of:

Amount in Figures	Amount in Words
£4.50	Four Pounds Fifty Pence

Commencing:

Date and Amount of First Payment	&	Due Date	Frequency
	Thereafter		Monthly

Until:

*Date and Amount of Final Payment

* You receive further notice from (us) in writing

*Delete as appropriate

Authorisation Details:

Bank Name and Address	Account Name
Bank Sort Code	Account Number

Signature(s): ............................................................ Date: .........................................

................................................................

Your Email address .................................................................... Prefered ball number(s) ........... .......... .........