STANDING ORDER MANDATE – Limited Company
(Please use block capitals)
YOUR BANK MANAGER Instruction to your Bank or Building Society
To: The Manager Bank/Building Society Please pay to CLUB AONTROMA
Bank of Ireland
Address ____________________________ Account Number
__________________________________ 5 4 7 8 5 1 7 3
__________________________________
Postcode ______________ Sort Code
9 0 - 1 2 - 9 8
Name(s) of Account Holder(s)
The sum of €
Commencing on the
Bank/Building Society Account Number
Every: year/quarter/month (delete as appropriate)
On the same date until further notice.
Branch Sort Code
- -
Signature(s): Please return completed Mandate to:
CLUB AONTROMA
c/o Lamont Buildings
Date: Stranmillis Embankment
Belfast
Name ____________________________ Co. Antrim
Address ____________________________ BT9 5FL
__________________________________
Postcode _____________
Thank you / Brioches Duit.