THE BICHON FRISÉ CLUB OF GREAT BRITAIN

ANNUAL SUBSCRIPTION ~ STANDING ORDER FORM

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Please complete the form below in BLOCK CAPITALS and send it 


DIRECT TO YOUR BANK

 

BANK/BUILDING SOCIETY................................................................

ADDRESS..............................................................................................

...............................................................................................................

Post Code......................... 		SORT CODE..........................

Please pay immediately the sum of*£7.00 (single subscription) Or* £12.00 ( family membership)

To Lloyds Bank sort code 30-90-80
89 High Street
Billericay,
Essex CM12 9AT

To the credit of The Bichon Frisé Club of Great Britain (Account Number 00136212) the sum specified below on 2nd January and annually thereafter until further notice.

£7.00 (Seven Pounds)* (Single Subscription)
£12.00 (Twelve Pounds)* (Joint Subscription)
*Please delete as appropriate

Name (please print).............................................................. Account Number..................................

Signed.........................................................................
Date...........................

THIS CANCELS ANY EXISTING STANDING ORDER TO
THE BICHON FRISÉ CLUB OF GREAT BRITAIN