Please complete this form and send it to the Membership Secretary:
Mrs. F. Clements
10 Allandale Court, La Rue du Becquet Vincent
Trinity, Jersey JE3 5FL
To: The Manager
Bank .................................................................. Sort Code ................................
Address.................................................................................................................
................................................................................................................................
................................................................................................................................
Postcode.............................................
By order of Mr / Mrs / Ms / or Title .........
First Name...................................................................................
Surname......................................................................................
Address.................................................................................................................
................................................................................................................................
................................................................................................................................
Postcode.............................................
Please pay to: The Royal Bank of Scotland
Account: The Channel Islands Family History Society
(to be completed by CIFHS: Sort code ....................... Account No................................)
The Sum of £ .......... (.................................................. pounds) now
and the Sum of £ ............. (................................................... pounds)
on 1st January 201.... and thereafter annually.
until further notice and Debit my/our Account No.............................................................
Please identify the standing order by name.
Please cancel any previous Standing Order to the Society.
Signature ............................................................................ Date ....................................