To the Bank Manager of:   (your bank)

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Bank Address:

_____________________________________________

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___________________ Post Code______________

Your Account Name_______________________________________

Your Account No_____________________________

Your Bank Sort Code_______________________________________

Signature___________________________________

Date_______________________________________

Please arrange a standing order to be credited into:

Manor House Magazines Ltd

Co-op Bank

Sort Code:  08-92-50

Account No: 70901919

£___________  to be paid immediately

*£___________ to be paid on the 1st of each month thereafter

*£___________ to be paid on the1st of each quarter thereafter.

* delete as applicable

Bank – please enter customers reference below with every payment

Manor House Magazines

Reference No ______________________

NB:  VERY IMPORTANT:  If not returning form to us please call for your customer reference no. so that we can match your payments to your account

Period: 

*Until further notice / (date)____/_____/20_____

* delete as applicable

Magazine Title: 

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