THE BUD
CLUB
a part of the BUD FLANAGAN LEUKAEMIA FUND
Registered Charity number 1092540
General Secretary:
I wish to join The Bud Club
Name: ..........................................................................................
Address: ..........................................................................................
..........................................................................................
Telephone: ..........................................................................................
Membership No. ........................
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STANDING ORDER
MANDATE
To ............................................................................ Bank Plc
Address: ...........................................................................................
...........................................................................................
Please pay: BARCLAYS BANK PLC
27 SOHO SQUARE, LONDON, W1A 4WA SORT CODE 20-05-75
For the Credit of: The Bud Club
Account number 20220027
The Sum of £15 (fifteen pounds)
Commencing Now and hereafter each year on ...... day of .....................
Quoting reference ......................
Debiting the following account:
Name of account ............................................................................
Account number ............................................................................
Sort Code .........................
Signatures(s) ............................................................................