Standing Order

Print off this form and use it to set up a standing order.
To (your bank)
At (address of branch)

 

 

Please pay: ALLIANCE AND LEICESTER PLC Branch: BOOTLE
Sort code: 72-00-05 A/c no: 70946905
For the credit of: SPHERE Quoting ref: WWW1
The sum of (in figures - minimum amount £3) £
(in words) £
Commencing (date)
and thereafter monthly until further notice or until (date of last payment)
and debit my account accordingly:
sort code _ _ - _ _ - _ _ A/c no: _ _ _ _ _ _ _ _
Name of account to be debited (your account)
Name: Signature:
(for joint a/cs where both signatures are requested)
Name: Signature:
Address:

 

 

Post code:
Date:
Now send this form to: HVA
41 North Road
London
N7 9DP
thank you very much