OMT Society Bankers Order

Standing Order Form
TO:	Name of Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
	Full Address of Bank . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
	. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
	Post Code . . . . . . . . . . . . . . . . . . . . . .	Sort Code . . . . . . . . . . . . . . . .
	Account Number . . . . . . . . . . . . . . . . .	Date . . . . . . . . . . . . . . . . . . . . .
	Name . . . . . . . . . . . . . . . . . . . . . . . . . .	Signature . . . . . . . . . . . . . . . . .

Please pay £ . . . . . (now and the same amount) on the 1st October every year until further notice to Barclays Bank plc, 32 Clarendon Road, Watford, Herts, WD17 1GT for the credit of account OLD MERCHANT TAYLORS' SOCIETY - ACCOUNT No. 00672149 Sort Code 20-91-79. This cancels existing Standing Orders to the Society

PLEASE RETURN THIS STANDING ORDER FORM TO:
	The Hon Subscriptions Secretaries Old Merchant Taylors' Society Durrants Lincoln Way Croxley Green Ricksmansworth Herts WD3 3ND