Transcription of The BSMSA Ltd STANDING ORDER MANDATE
1 STANDING ORDER MANDATE COURSE PAYMENTS Please set up the following STANDING ORDER and debit my / our account accordingly To: The Manager, (name of Bank or Building Society)_____ Full address (including postcode)_____ _____ Name(s) of Account Holder(s) _____ Bank/Building Society account number Branch Sort Code Surname:_____ First Names(s):_____ Address:_____ _____ Home Telephone: _____ Work Telephone: _____ Home Email:_____ Work email:_____ The BSMSA Ltd Santander, PO Box 10102, 21 Prescot Street, London E1 8TN Account no: 05074915 Sort code: 09-01-28 Please pay BSMSA the sum of: _____ (instalment amount) on the (dd/mm/yy) __ __ / __ __ / __ __ (date first payment to be made) until (dd/mm/yy) __ __ / __ __ / __ __ (date of fourth payment to be made) inclusive, per month. Quoting Reference: _____ / _____ (first name / surname) SIGNED: .. DATE: .. The BSMSA Ltd Company Registration 7685056 Not for profit company The BSMSA Ltd Payment Instructions Account Details Payment Instructions Organisation to be Paid About the Payment Please send this form Directly To Your Bank and a copy to BSMSA Ltd 2 New Cottages, Six Ashes, Bridgnorth, Shropshire,WV15 6EJ
