Regular standing order form

Please complete the form below and return it to the address at the bottom of the page.
Once we have received the completed form we will keep a photocopy and send the original
standing order form to your bank so that they can process payments.

Your name & address: ...............................................................................

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

To your bank (name and address)
.............................................................................................................

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

Your account (name):................................................................................

Account no: ......................................... Sort code: ...................................

Please pay to Barclays Bank of 9 Portman Square, London W1A 3AL (Sort Code 20-69-15)
for the account of FaRiG (Account No. 20886955) the sum of

£ .................(figures)......................................................(words)

on the .........................day of...........................(month).....................(year)

and a like sum each year/quarter/month*(delete as applicable) until further notice.

Signature:

Name (in capitals):

Date:

NB. THIS REPLACES ANY PREVIOUS STANDING ORDER FORMS SIGNED BY ME IN
FAVOUR OF FaRiG