BANKERS STANDING ORDER MANDATE
To (Name of Bank)…………………………………………
(Bank Address)……………………………………………..
……………………………………………………………..
……………………………………………………………..Post Code………………………
ACCOUNT TO BE DEBITED
ACCOUNT NAME: ……………………………………………………. (BLOCK CAPITALS)
ACCOUNT NUMBER:
……………………………..
SORT CODE:
……. -……-…….
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BENEFICIARY DETAILS
BANK
NATIONAL WESTMINSTER BANK PLC
HENDON, CENTRAL CIRCUS BRANCH
5 CENTRAL CIRCUS, LONDON NW4 3LE
SORT CODE 60-10-34
ACCOUNT NUMBER
47949872
ACCOUNT NAME
JEWISH POLICE ASSOCIATION (JPA)
REFERENCE:
…………………… (please leave blank - #)
PAYMENT DETAILS
AMOUNT:
£20.00
FIRST PAYMENT: ON THE FIRST BANKING DAY AFTER RECEIPT OF THIS ORDER
AMOUNT OF SUBSEQUENT PAYMENTS: £20.00 ANNUALLY ON 1ST APRIL
PLEASE CONTINUE PAYMENT UNTIL FURTHER NOTICE
SIGNED………………………………………DATE………………………..
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Please return this form marked for the attention of the JPA Secretary at:
Metropolitan Police Training School, Room 2.08, Simpson House, Aerodrome Road,
London, NW9 5JE
# The JPA will enter the reference number and send this form to your bank
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BANKERS STANDING ORDER MANDATE