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.