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Standing Order

Please print and complete this form or use the PDF version and send it to the ANL.

Standing Order Mandate

Name of bank
Branch of bank	Sort code _ _ / _ _ / _ _
Full address of bank Postcode
Please pay to the Unity Trust Bank, Nine Brindleyplace, 4 Oozells Square, 111 Broad Street, Birmingham B1 2HB (08-60-01) for credit of account no 20081274 the sum of Ł in words monthly on the first (1st) of each month until further notice writing
My account no
Name of account holder(s)
Signed
Date of first payment