Whitmore Reans Credit Union 221 Waterloo Terrace, Newhampton Rd East, Wolverhampton, WV1 4BA Tel: 01902 571271. e.mail wrcu@live.co.uk. PLEASE RETURN THIS FORM TO THE CREDIT UNION INSTRUCTION to pay by Standing Order TO (your bank): Address: Please Pay: Whitmore Reans Credit Union Sort code: 08-90-19 Start Date: ______ /_______ / 20______ At: Co-operative Bank, Wolverhampton Branch Account Number: The Sum of: 50398636 £ Frequency: (m/thly, f/nightly or w/kly) End Date or UFN (until further notice) Quoting Reference: (Surname & Credit Union A/C no) ______________________ / ______ ACCOUNT TO BE DEBITED Account Name: (name on the account): Sort Code: Account Number: Account Holders Signature: Date: _______/ _______ / 20_____ Authorised by the Prudential Regulation Authority (Firm No:213533 ) Regulated by the Financial Conduct Authority and the Prudential Regulation Authority