Download friends of st pauls association - St. Paul`s C of E Primary School

Please return this completed form to the school office in an envelope marked FOSPA 100 Club
FOSPA 100 CLUB MEMBERSHIP FORM
I wish to become a member of the FOSPA 100 Club.
I agree to pay a subscription by either: (Please tick the relevant box)
Bank Standing Order for £12 per annum. If using this option, please fill out the standing
order mandate below and forward it direct to your Bank or set up your payment online.
or
Cash or Cheque for £12 to be paid annually
Cheque payable to FOSPA 100 Club
Signed _____________________________ Date
__________________
Name (in block capitals)
_____________________________________
Address
_____________________________________
_____________________________________
Telephone Number
_____________________________________
Name and Class of child if at St Paul’s _____________________________
STANDING ORDER MANDATE
Please fill in your bank details below:
To:
__________________________________ Your Bank Name
__________________________________ Branch
__________________________________ Bank Address
__________________________________
Please pay Barclays Bank plc, Dorking Branch, The Gatwick Group, Sort Code 20-23-97 for
the credit of FOSPA 100 Club, Account Number 10342726
the sum of £12 commencing on _____________ and thereafter annually until further notice.
Account to be debited:
Name _______________________ Account Number ___________________________
Sort Code_____________________ Signed____________________________Date _________