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Bankers Order Mandate
Bank
Name………………………………………
Bank Address…………………………………......Bank Sort Code ........................
Please Pay BANK OF SCOTLAND, HIGH STREET. DUMFRIES
For the credit of Dumfries and Galloway Fine Arts Society
Sort Code 80-11-60 Account No. 00269854
The sum of £10.00 ( Ten pounds only ) on 1st January next and thereafter
annually until further notice.
Notice
to Bank: Please replace any existing
standing order to Dumfries & Galloway Fine Arts Society
Account to be debited…………………………………………………………
Account Number……………………
Signed………………………........................Date……………………………
Following
completion of the form as appropriate, please send it to the Secretary, together
with your cheque for £10 for the current year..
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