Membership Fee Payment
STANDING ORDER FORM Great Glen Canal Users Association
To Bank ……………………………………………………………………………………………………………………………………
Bank Address …………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………
Please Pay to: Royal Bank of Scotland Inverness Chief Office 29 Harbour Road INVERNESS IV1 1NU
Sort Code: 832310 Account Number: 10187624 Account Name: Great Glen Canal Users Association
The sum of £ 10 [Ten pounds sterling] for Individual Membership
On the ……………………………… day of each month for ………………….. months or until further notice
COMMENCING ……………………………………………………………………[date]
Quoting Membership surname and “GGCUA”
AND DEBIT MY ACCOUNT ACCORDINGLY
Name …………………………………………………………………..
Account Number…………………………………………………….
Signature[s] …………………………………………………………………………………………DATE …………………………..
This instruction cancels any previous standing order in favour of GGCUA under this reference number.
