STANDING ORDER SET UP FORM The Manager ______________________________ Bank Address ______________________________ ______________________________Date: __ __ / __ __ / __ __ Please debit my account NSC: __ __ __ __ __ __ Account No: __ __ __ __ __ __ __ __ Sender Name: __________________________________________ Amount: â‚Ź__ __ __. __ __ (in words) ________________________ ________________________ Credit: AER LINGUS SWIMMING CLUB NSC: 985011
A/c: 05027072
Ulster Bank Dublin Airport Reference: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ (18 digits) Please include ALSC Membership account number in reference
Please allow 5 working days prior to first payment Start Date: __ __ / __ __ / __ __ Frequency ______________ (Quarterly, Monthly, Fortnightly, Weekly) Until Further Notice __ ( ) or final date __ __ / __ __ / __ __ SIGNED: __________________________________________________