CPFC BBS Standing order form

Please complete all details, and send the completed form to your Bank or
Building Society:

To:
The Manager,
Name of Bank/Building Society................................
Address:.............................................
..........................................................
.........................................................

Sort Code:..........................................

Account Name: ...................................
Account Number:.................................

Please pay by Standing Order the sum of ..........................[amount in
words] pounds immediately....................... and thereafter on the
............................ day of each month until cancelled by me in writing,
from my above Account to the credit of: ..................

CPFC BBS Services. (Account Number 71805312)
HSBC,
Poultry & Princes Street,
EC2,
Sort Code: 40-05-30.

Signed by:.......................................................

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

               Date of signature: .............................