AMARC

BANKER'S STANDING ORDER FORM

	Please type directly into the boxes and then print the page OR print the page first and then fill in the boxes by hand IN CAPITALS; then add your signature and send this form to:
	Dr Michael Stansfield AMARC Treasurer Durham University Library Palace Green DURHAM DH1 3RN
	To: The Manager
Bank name:
Branch Address:
Bank sort code:
Account No.:
	Please pay now and on 1 April annually until further notice the sum of £10 (ten pounds sterling) to the account of : The Association for Manuscripts and Archives in Research Collections
	Account No: 11199104 Sort Code: 16-00-53
	The Royal Bank of Scotland plc London Holborn Branch 127-128 High Holborn London WC1V 6PQ
	This order cancels and replaces all existing orders to the credit of the Association.
Full Name :
Address:
Signature
Date::