Castle Head Lake Fishery Standing Order Form

Please print off this page, fill in your details and post it to:

Gateway to the Lakes
Platting Farm,
Platting Road,
Saddleworth,
OL4 4JW

Bank:	_________________________________________________________________
Address:	_________________________________________________________________
	_________________________________________________________________
	_________________________________________________________________
Postcode:	_________________________________________________________________

I authorise you to pay the sum of £30.00 from the account detailed below on the ______ day of each month until further notice, with a minimum twelve payments commencing from ___________

Bank/Building Society Sort Code

___________________________________________________________________________

Bank/Building Society Account No.

___________________________________________________________________________

I have completed the Standing Order Form and agree to pay £30.00 per month for a minimum of 12 months.

Signature	Date
_________________________________________________	_______________________

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