To ...............................................................................................................Bank (insert name of your bank)
Sort code ...................................................(enter the six digit number usually in the top right hand corner of your cheques)
Address ............................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................ (insert postal address of your bank)
Please pay "The Entomologist's Record", account number 21668323, at HSBC, 60 Queen Victoria Street, London, EC4N 4TR (bank sort code 40 05 30), the sum of
£ ...................... (insert amount - see below for details) on ...................................................(insert date of first payment, including year)
and thereafter every year on the same date until further notice in writing and debit my / our account accordingly.
Please cancel all previous Standing Orders/Direct debit Mandates in favour of "The Entomologist's Record".
Name of account to be debited ...................................................................................................................
Account number ........................................................................................................................................
Signature .................................................................................................................................................
Date ........................................................................................................................................................
***************************************************************************************************
Please print your postal address (this must be
the same address as that which your bank associates with your account)
Address ....................................................................................................................................................
.................................................................................................................................................................
.................................................................................................................................................................
If the person who is to receive the journal is not the same as the person
signing the Standing Order Mandate below, please now print the name and
address of the person who will receive the journal:
Name of person to receive journals .................................................................................................................
Postal address to which journals will be mailed .
....................................................................................................................................................................
....................................................................................................................................................................
Notes:
The amount must be a minimum of £28 net for individual subscribers
and £50 net for institutional subscribers. If you wish to make
an annual donation, please include this in the single figure that you
enter above.
This entire page should be posted to
The Treasurer, Dept WWW, Entomologist's Record,
109 Waveney Drive, Springfield, Chelmsford, Essex CM1 7QA - not to your
bank.