Please print this page, complete the details and return to the Parish Office.
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The RC Parish of Ash and Normandy
The Parish Maintenance Fund also known as the Parish 100 Club
Application Form
I would like to become a member of the Parish 100 Club
Name …………………………………………………………..
Address ………………………………………………………….
……………………………………………………………………
Post Code …………………………………..
Telephone Number………………………………………….
Monthly Subscription ………………………………….
Banking Standing Order Instruction
| To: | The Manager |
| Bank address:(i.e your bank) | |
| Sort Code/Act Number:Account Name: | |
| Please set up a new Standing order to commence from: | |
| Payable thereafter on the first working day of each month until further notice | |
| Amount: | £ Sign: |
| Payee: | Ash The Holy Angels Parish 100 Club |
| HSBC Bank, 69 Pall Mall | |
| London SW1Y 5EY | |
| Act No: 91432222 Sort Code: 40 – 05 – 20 | |
| Quoting Reference No (to be completed by the promoters) | |
I have read the Purposes and Rules of the Club and agree to these
Signature…………………………………………
Date………………………………………………
Please either leave this form in the church lobby or return it to The Parish Office, Holy Angels, 65, Ash Church Road, Ash, Surrey GU12 6LU