Standing Order

Lancashire Parish Register Society

Registered Charity No. 511396

BANKERS ORDER FORM

Date ……./…………./ 20 …

Bank/Building Society Name ……………………………………………………………

Bank/Building Society Address ………………………………………………………..

……………………………………………………………………………………

Post Code………………………………………………..

Please pay to Santander UK plc, Bridle Road, Bootle, Merseyside, L30 4GB,

(Sort Code 72-00-04) on 1st January 2023 and on the corresponding date in each succeeding year, until cancelled in writing, the sum of £25 being an annual subscription to the Lancashire Parish Register Society,

Account No. 9014 7089

N.B. This order cancels any previous order payable to the Lancashire Parish Register Society.

Please give an clear reference, such as your name, so that LPRS can identify you.

Signature………………………………………………………………………..

Name of Account …………………………………………………………………

Account Number …………………………………………………………………..

Please take this form to your bank, or make a Standing Order arrangement on line .