Residents of Wilmslow 100 Club Standing Order form

To: …………………………………………………….. Bank Plc

Branch/Address …………………………………………………………………………

……………………………………………………………..

……………………….. Postcode:………………………

Please pay £……… on 1st day of each month, commencing …../…../…..

Until further notice, or cancelled in writing by me – for the credit of the following Bank/Branch

Bank: TSB

Sort Code: 30-99-65

Credit Account: Residents of Wilmslow

Account No: 14748660

Reference: RoW100Club (shorten if to many digits)

Quoting (Your Account No) ………………………………………………………

Please debit my account with yourselves as quoted below:

Account No: ………………………………………………….

Sort code ………………………………………………….

Name and Address …………………………………………………….

…………………………………………….

Signature of Account Holder …………………………………………………..

Tel No ………………………………………………

*All participants must be over the age of 16.

* Your personal details are required for the purposes of administering the RoW100 Club only. The Government Data Protection Act 2018 is applied.

*The RoW Club Trustees reserve the right to determine the number of prize winners.