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FRIENDS OF CHESS: BANKER'S ORDER

If you wish to pay your subscription by banker's order, please complete the form below and send it to the Secretary with your membership application (i.e. do not send it directly to your Bank). Subscriptions are payable annually, but members wishing to pay quarterly may approach the Secretary with a request to do so.

To:................................................................................................................................

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Insert the name and address of your Bank

Please transfer from my account with you, number....................................... the amount of £.....................................................................(insert the amount in words and figures) to FRIENDS OF CHESS, Account No. 71070487 at HSBC Bank PLC, 65 Packhorse Road, Gerrards Cross, Buckinghamshire SL9 8PH (Branch code 40 -22 - 05), the first such payment to be made on the date that you receive this Order and annually thereafter until further notice.

Name..............................................................................................................................

Address..........................................................................................................................

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...................................................................Post Code....................................................

Signature..........................................................................................................................

Date................................................................................................................................