South Lakes U3A - Standing Order Mandate

If you wish to pay your membership subscription by standing order (our preferred payment method), please type appropriate information in the white boxes in the form below, then print the form and send it with your Membership Application form to the membership secretary.

Note that the printed page will look different from the page as seen on your screen: for example some of the text will not appear.


PLEASE PAY TO

Yorkshire Bank, Kendal Branch, Sort Code 05-05-40, Account Number 34326483

Beneficiary: South Lakes U3A

£

On (Date of first payment) and on the 20th August each year thereafter.

Please cancel with immediate effect any previous standing order to South Lakes U3A.


Signature(s) of account holder(s)


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Date___________________________