Spider Media - STANDING ORDER FORMPlease print and complete this form and forward it to your bank for implimentation |
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| Standing order to: | Spider Media Ltd | |
| Sort code: | 30-94-41 | |
| Account number: | 03547068 | |
| Bank & Branch Address | Lloyds TSB Bank 1, West Street Horsham West Sussex RH12 1PA |
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| Reference (if any): |  |
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| Regular amount: | £ |
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| Date of first payment: | / / |
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| Frequency: | Monthly/Weekly/Every Four Weeks/Bi-Monthly/Quarterly/Half Yearly/Annually (delete as applicable) | |
| Expiry date: | / / or until further notice (delete as applicable) |
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| Signature: | |
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| Date: (dd/mm/yy) | / / |
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