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To ___________ Bank

Address:

Sort code:

Please make payments from cheque account:

name:

number:

Please pay to Bank name:

Address:

Sort code:

Creditor’s account: name:

number:

The sum of: £

Amount in words:

Starting on:

and thereafter at weekly*/monthly*/quarterly*/yearly*

intervals until:

or until cancelled by me/us* in writing.

Signature: Date:

*Delete if not applicable

Fig. 10. Standing order form.

122 / PART TWO: ENGLISH IN ACTION