THE CYBERNETICS SOCIETY
The
Registered Office 3 Willow Grove,
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, |
Sort
Code 20—41—41 |
|
|
for the
credit of:- The Cybernetics
Society, |
Account
Number 5 0 2 5 6 7 8 1 |
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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, Secretary or
President.
Additional copies can be downloaded from www.cybsoc.org/standing_order.htm