Standing Order
Standing Order: Garden Makeover in Stourbridge
Please print this page, complete in BLOCK CAPITALS and send to Garden Manicure Services, 11 Sherwood Road, Wollaston, Stourbridge, West Midlands, DY8 4PB
Your bank details
To: (name of YOUR bank):..........................................
Full address:.............................................................
..............................................................................
Post code: ..........................................
Your account details
Account name: ..........................................................
(i.e. your name as it appears on your account)
Account number:........................................................
Sort code:......-......-......
Your daytime telephone number:..................................
Please set up the following standing order and debit my / our account accordingly:
Account to be credited
Account to be paid: Garden Manicure Services
Name and address of bank: Lloyds TSB, 73 Parade, Leamington Spa, Warwickshire, CV32 4BB
Account number: 02909076
Sort code: 30 - 94 - 93
Amount: £.......... (To be completed by office)
Date of first payment:
-------/---------------------------/ 2007
(To be completed by office)
Frequency: Every 4 (Four) Weeks until further notice
Confirmation
Customer signature(s):.....................................
Date:.............................................................
This Standing Order Mandate supersedes any existing Standing Order Mandates in respect of Garden Manicure Services
Note to paying bank:
Please quote following reference with payment [_____] (To be completed by office.)
