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Please print this form                                                                               

BANKER’S ORDER

To……………………………………BANK

Address…………………………………………………………………………

………………………………………………………………………………….

Post Code…………………

Please pay annually on January 2nd to

St Michael’s College Society,

the sum of  £…………… until you receive further notice from me in writing.

My Name ………………………………

Address…………………………………………………………………………

………………………………………………………………………………….

Post Code………………  
Name of Account to be Debited ………………........................................

Account Number ………………  

Sort code: ……………  

Signed ………………         Date …………

Years at SMC: 19__ to 19__
or Year elected Friend of the Society:_________

NOTES
Minimum Subscription £10 (more if you would like)
Subscriptions are only payable by Members and elected Friends

Please return this form to:  
Mr Tarquin Wiggins
SMC Treasurer
120 George Lane,
Lewisham,
London.
SE13 6HW.

Or sign, scan and e-mail to admin at smcsociety.co.uk - we will complete the Society's Bank Details  

v4.0/2013