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To: Tony Fowler, c/o Town Hall, Cross Hayes, Malmesbury, Wilts, SN16 9BZ

I would like to join the Malmesbury & St Paul Without Residents’ Association and enclose my subscription of £4 (covering my household) OR Bank Standing Order Mandate.

Name………………………………………………………………………………….. Address……………………………………………………………………………... . .. ……………………………………………………Postcode…………………………. Signed…………………………………………....Date……………………… … …… To………………………………………………………………Bank
Postal Address………………………………………………………………………

Please pay HSBC at MALMESBURY Sort Code 40-31-07 for the credit of MALMESBURY & ST PAUL WITHOUT RESIDENTS’ ASSOCIATION, Account number 51376810, quoting reference……………….., the sum of £4.00 (FOUR POUNDS ONLY), commencing IMMEDIATELY and thereafter 2nd JANUARY – YEARLY, until further notice in writing.

Name of account to be debited……………………………………………………
Sort Code………………………………
Account Number………………………..

Signature (s)……………………………………………… Date…………………..