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Please print this form                                                                               

BANKER’S ORDER

To……………………………………BANK

Address…………………………………………………………………………

………………………………………………………………………………….

Post Code…………………

Please pay annually on January 1st to Lloyds TSB, Tenbury Wells, Sort Code 30-98-52 for the credit of St Michael’s College Society, Account No 00114729, the sum of  £…………… until you receive further notice from me in writing.

My Name ………………………………

Address…………………………………………………………………………

………………………………………………………………………………….

Post Code………………  
Name of Account to be Debited ………………..........

Account Number ………………  

Sort code: ……………  

Signed ………………         Date …………

Years at SMC: 19__ to 19__
or Year elected Friend of the Society:_________

NOTES
Minimum Subscription £10 (more if you would like)
Subscriptions are only payable by  Members and elected Friends

Please return this form to:  
Dr John Pepper
SMC Treasurer
Gelda Lodge
Sandford Avenue
Church Stretton, Shropshire
SY6 7AE                                                                    
                                            v2.0/2008