Standing Order Form - UK Bank Account Holders only

Please print this page, fill in your bank details in the form below and sign the form. If you know your membership number, quote it as the reference and forward the form directly to you bank; if not, post the form to: John Johnston, MOA Membership Registrar, 7 Netherfield Road, Harpenden AL5 2AF. He will then add your membership number and forward the form to your bank.

Standing order form to your bank :

To the Manager

Bank name  
Bank full address  
Bank postcode  
Sort code               -                 - 
Account name  
Account number  

 

Please pay to The Moody Owners Association account at Lloyds TSB Bank Plc, The Broadway, Ealing.

Sort Code 30-92-82 Account number 01540558

the following amounts:
1. The one off sum of £20 immediately
2. The sum of £20 per annum on 1st Jan 2012 and thereafter annually until further notice. 

Please quote the reference below with the payments:   

   

 

All the above information can be obtained from your cheque book.

Signed …………………………….Print Name…………………..……….Date………………

(In accordance with bank mandate)