Friends Bankers Order Form
Please COMPLETE, PRINT, and SIGN this form and send it with your application form.
To:
Bank Plc
Address:
Postcode:
Country:
Please pay CLYDESDALE BANK PLC University of Glasgow Branch (sort code 82-70-12)
for the credit of THE FRIENDS OF GLASGOW UNIVERSITY LIBRARY (account number
80033535) the sum of £
(ENTER HERE THE TOTAL OF MEMBERSHIP
SUBSCRIPTION AND ANY ADDITIONAL DONATION YOU WISH TO MAKE) on the first
day of January 2008 (THIS SHOULD BE THE MONTH AFTER APPLYING FOR
MEMBERSHIP) and thereafter on the first day of October until further notice from me in
writing and debit my account accordingly. This instruction cancels any previous order in
favour of the The Friends of Glasgow University Library.
Account name to be debited:
Account number:
Signature:
Date: