Please complete this form and send a copy to the 101 Club Administrator using the address below or via email.
You can pay annually or set up a monthly standing order using on-line banking. Alternatively use this form if posting a cheque or take it to your bank to set up a standing order.
Title …….… Name.............................................................................................................................................................
Address
…......................................................................................................................................................................................
………………………………………………….....................................................................................................................
Email address ………………………………...........................………. Tel No …………………….......................………….
*CASH/CHEQUE PAYMENT
I enclose payment of £60. (Cheques payable to “Tregony Village Hall 101 Club”)
Date ….....................
*BANKS STANDING ORDER PAYMENT - online or in person at your bank
To the Manager,
....................................................................................................................................Bank/Building Society
*Please delete as appropriate
Please pay £5.00 on the first day of each month commencing ……...........................................….........to
Tregony Village Hall 101 Club, Santander UK plc, Bootle, L30 4GB
Bank Sort Code: 09 01 54
Account Holder: TREGONY Village Hall 101 CLUB
Account Number: 35404288
from my Bank Account number: …………............................................................................................……………….
Sort Code: ..............................………………….
Signature of Account Holder …................…......................... Date …............................
Thank you for supporting Tregony Village Hall.
Any questions, please contact: 101 ClubAdministrator, ℅ Sunny Corner Farmhouse,
Reskivers, Tregony, TR2 5TE
Email address: tregony101@gmail.com