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122 / P ART TW O: E NGLIS H IN ACT ION




          To ___________ Bank


          Address:

          Sort code:

          Please make payments from cheque account:
                              name:
                              number:


          Please pay to       Bank name:
                              Address:
                              Sort code:

          Creditor’s account:  name:
                              number:

          The sum of:         £

          Amount in words:


          Starting on:
          and thereafter at weekly*/monthly*/quarterly*/yearly*
          intervals until:
          or until cancelled by me/us* in writing.




          Signature:                            Date:



          *Delete if not applicable

                       Fig. 10. Standing order form.
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