To: (Your Bank)________________________________________________________________
Address______________________________________________________________________
______________________________________________________________________
Post/Zip Code ________________________________
Please pay to: Lloyds TSB Bank plc, Bath Branch, 47 Milsom Street, Bath BA1 1DN Sort
Code 30-
Account No. 00142900 of the William Herschel Society.
The Sum of £_________________ on _________ day ___________month 20____
And the same sum on the same day each year until further notice.
Debit Account No._____________________
Signature___________________________________________________Date__________________
Title_________________
Forename(s)________________________________________________________________
Address_____________________________________________________________________
_____________________________________________________________________
Post/Zip______________________
Please send completed form to the Membership Secretary, WHS , NOT to your Bank