Please complete and send to Club Services, not to your bank as we have to add your membership number.

Standing Order Form 

Instructions
Surname 
.		 First Name

  Self Build Homes Club LLC 

Standing order form

<< Your name and address
Address

Postcode
To The Manager of 
.		 <<  Your bank name
Bank address

.

  
My account number
.		 << Your bank account number
My account Name
.		 << Name your account is in, as on your cheques

Please pay to the order of 
MAXIMUM COVERAGE LTD, 
NatWest Bank, Merthyr Tydfil Sort code 54-10-02 , 
Account number 12044784  until further notice

 .
The amount of £
.		 .

Now and on the ........ day of each following month 

Now and annually on the same date thereafter

 << Delete line not relevant

< If monthly select day of the month you prefer, ie 15th
Please quote the following membership
reference when remitting		 << Leave this for us to add your membership number
Signed

.
.

 Dated

 

Send to Club Services, PO Box 887,
 Cheltenham, GL52 9WY

Please complete and send to Club Services, not to your bank as we have to add your membership number.