Royal Caley Instruction to Pay by Bankers Order

INSTRUCTION TO BANK TO PAY BY BANKERS ORDER

Name and postal address of bank

Name
Street
Town	Post Code

Name of Account Holder(s)

Bank sort code
(see top right hand corner of cheque)

Bank account number

Please pay to:
The Bank of Scotland, 38 St Andrews Square, Edinburgh EH2 2YR
[80-31-20] for the credit of the Royal Caledonian Horticultural Society,
Account number 00771991 on the first day of (month)..............., 200.....,
and annually on the same date until further notice, the sum of:

single £ 15.00......., student £ 5.00........,
family £ 17.50......., youth £ 2.00........
(account holder please tick the relevant sum)

I am a UK tax payer and UK resident for tax purposes. Please tick if you wish your annual subscription to be treated as a donation under the Gift Aid scheme .........

Name...................................................................................................

Address................................................................................................

............................................................................................................

Telephone number................................................................................

Signed...........................................................Date.................................
Please complete and return to the membership secretary:
Tom Mabbott
6 Kirkliston Road
South Queensferry
West Lothian
EH30 9LT

for Official Use only

Member's roll number