(Please use BLOCK LETTERS)

Name of your Bank:…………………………………………………………………………………..

Branch & Address: ………………………………………………………………………………

………………………………………………………………………………

……………………………………………Post Code:…………………………

Please pay to Lloyds Bank PLC, 115 Victoria Road, Aldershot (30 90 09) on receipt, the sum of;

£35.00 (thirty five pounds) immediately.
Or £20.00 if applying after 30th September.
Or £0.00 if a cheque already received. (Delete as appropriate)

Then on 25th April annually thereafter, until further notice, the sum of £25 (twenty five pounds) for the credit of The Flying Farmers Association Ltd. Account no 0586528.

Member's Name: ………………………………………………………………………………

Address: ………………………………………………………………………………

………………………………………………………………………………

……………………………………Post Code: ……………………………

Account Name: ………………………………………………………………………………

Sort Code: ………………………………………………………………………………

Account Number: ………………………………………………………………………………

Signature: ………………………………………………………………………………

Date: ………………………………………………………………………………

BANK USE ONLY
Please Quote Ref: ……….
Return to:
P.A.Stephens, Moor Farm, West Heslerton, Malton, North Yorkshire YO17 8RU