THE STOCKTON SOCIETY           STANDING ORDER

To the Manager,  ______________________________________  Bank / Building Society,

Address _______________________________________________________

______________________________________________________________

Please pay
Alliance and Leicester Commercial Bank PLC
Bootle
Sort code       72-00-01

For the credit of       The Stockton Society
Account no     5903 2504
Quoting Reference __________________________________ (Your name as reference)

The sum of £ ______ [six/eight pounds*]
Commencing now and on 1st May in each subsequent year, until further notice

Name of account to be debited                                       Account number

__________________________________________________        _   _   _   _   _   _   _   _

Name (Capitals)________________________________________________________

Address inc. postcode] ___________________________________________

______________________________________________________________

______________________________________________________________

Signed ________________________________________________________

Signed ________________________________________________________
                 ( for joint accounts where both signatures are required)

Date _________________________________________________________

Once you have completed the form, please take or send it to the bank branch which looks after your account.

Please let the Stockton Society Treasurer know that you have set up this Standing Order  - Christine Stockton stockton.christine@googlemail.com 01244 383293
Thank you.

*£6 for a single member, £8 for a family