MONTHLY STANDING ORDER MANDATE  to the NF
 

To the Manager,
……………………………………… Bank plc.
Date:      ………………………………...
Branch:
……………..………………..……………………….
.………….…………………………………………..
…..…………………………………………………..
 

ACCOUNT TO BE DEBITED
Sort Code:                ……………………………………….
Account Number:      ……………………………………….
Account Name:         ……………………………………….

BENEFICIARY DETAILS
Lloyds TSB
Poplar Rd
Solihull
West Midlands
Sort Code 30-97-78
Account number 00914719
 

PAYMENT DETAILS  (The minimum payment is £5 per month by standing order)
Amount in Figures: £ ……………… Amount in Words ………………………………………………………………………………
Date of first payment:                         and on this day each month until further notice from me/us in writing.
 

Customer Signature(s)
Date:
 

Please send a copy to

PO Box 114, Solihull,
West Midlands, B91 2UR.
0121 2466838
 

Thanks