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| To the Manager: |
Bank |
| Address of your branch, including post code: |
|
| Please debit my account the sum of: |
in words |
| To: | HSBC 92, Kensington High Street London W8 7DD |
For the credit of the Church Monuments Society |
Account Number: 31205005 Sort Code: 40-04-01 |
| On the 1st of June and thereafter annually
until further notice. |
|
| Account Name: |
|
| Account Number: |
|
| Sort Code: |
|
| Signature: |
|
| Date: |
Please send completed and signed form to:
Dr C J Easter BA BEd PhD
55 Bowden Park Road
Crownhill
Plymouth
PL6 5NG