PRINT STANDING ORDER AUTHORITY

Please pay to the order of Lloyds TSB Group National Golf Society JM a/c at
Lloyds TSB Bank Bromley Branch, sort code 30-91-35, account number 03224360. The sum of £5 (five pounds) on the first day of each month, until cancelled by me in writing.

The first payment is to be made on receipt of this authority.

To (your bank) ……………………………………………………Bank Plc

Branch Address ………………………………………………………………

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…………………………….Post Code…………………….

Account Name ………………………………………………………………

Account Number ………………………………Sort Code…………………..

Signed …………………………………….Date…………………..