Authorisation to Bankers to pay Annual Subscription
To the Manager,..............................................................................Bank Limited
Address..............................................................................................................................
...................................................................... Sort Code ..................................................
Please pay on receipt of this instruction and on 1 January in each subsequent year until further notice, an annual subscription of £..................(please insert the amount of your subscription) to the account of the Bristol and Gloucestershire Archaeological Society, Barclays Bank plc., PO Box 207, 14/16 Queens Square, Bristol, BS99 7AJ, Bank Code 20-13-42, Account No. 00196460. This instruction cancels any previous instruction concerning the Society.
Signature ...................................................................................................................….
Name (capitals) ..........................................................................................................…
Account No. ........................................... Date .........................................…………….
Please complete the whole form and sent it to: The Membership Secretary, Mrs. S. Swart, The Winnats, Kestrel Close, Cheltenham, GL53 0LQ