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

THE CHANNEL ISLANDS FAMILY HISTORY SOCIETY

Standing Order for Annual Subscription

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 ....................................