Longton RUFC
Longton RUFC |
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LONGTON RUGBY UNION FOOTBALL CLUB"200 CLUB "THIS IS YOUR CHANCE TO WIN !!SUPPORT YOUR CLUB THIS SEASON AND JOIN NOWONLY £5 PER MONTH OR £60
PER YEAR
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Please return to Dave
Cartlidge or David Davies
and not your bank. Tel
Home 01782 303730
Email david.davies6057@ntlworld.com All winners will be notified. |
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To Print
the form below - with your mouse cursor anywhere over the form, |
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| BANK STANDING ORDER MANDATE | ||
| Bank ............................................................................................................................ | ||
| Branch Address ......................................................................................................... | ||
| Please debit my/our account No .............................................................................. | ||
| * Quoting my, Reference No .................................................................................... | ||
| with £5 on the first day of each month or £60 once each year | ||
| Commencing............................................................................................................... | ||
| Pay to: | BARCLAYS BANK, The Strand, Longton, S-0-T, ST3 2JJ | |
| Sort Code: | 20-36-43 | |
| Credit to: | Longton RUFC 200 Club.Account No. 10501131 | |
| * Ref No ....................................................................................................................... | ||
| Name ........................................................................................................................... | ||
| Address ...................................................................................................................... | ||
| ...................................................................................................................................... | ||
| ...................................................................................................................................... | ||
| Signiture ................................................................................................. | Date ................................... | |
| * Please leave blank (This will be your "200 Club" number) | ||
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