THE CYBERNETICS SOCIETY

The UK national learned society and professional body promoting pure and applied cybernetics

Registered Office Brooke Coombes House, 52 Mountfield Rd. London W5 2NQ

 

The Cybernetics Society is registered with the Financial Services Authority www.fsa.gov.uk

 

STANDING ORDER MANDATE

 

Standing orders can be cancelled at any time simply by informing your bank.

 

Title, forename,

initials, surname

 

Postal address

 

 

 

E-mail address

 

 

Bank branch and

postal address

including post code

 

Name of account

to be debited

 

Sort

Code

Account

Number

 

 

Please pay:-   Barclays Bank, Chancery Lane & Goslings Branch, 19 Fleet Street, London, EC4P 4DR.

Sort Code

20—41—41

for the credit of:-  The Cybernetics Society,

London (Community Account).

Account Number

5 0 2 5 6 7 8 1

Quoting

reference

Member/applicant’s

surname and initials

 

 

First payment, payable now, of (£2 for each full month between now and the 1st of January next, up to £20).

£                  pounds only.

 

Followed annually on each

1st of January until further notice, payments of

£20 (twenty pounds only)

 

This standing order supersedes any previous order for the Cybernetics Society.

 

Signature

 

 

Date

 

 

Please forward this form to the Treasurer
Dr. W Pratt,
1 Hillingdale,
Biggin Hill,
Westernam,
Kent, TN16 3NP
.

 

Additional copies can be downloaded from www.cybsoc.org/standing_order.htm