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BANKER'S ORDER

(Please print, and send the completed form to the Association)

Date: .......................

To: .................................................................

.....................................................................

Bank code number: _ _ / _ _ / _ _


On receipt of this order, please pay to Lloyds Bank plc,
Exeter (30-93-14) for credit of the Devonshire Association

a/c No. 0445064 the sum of: .........................................

(amount in words of your first payment) 

and thereafter until further notice annually on the first day

of January beginning 19 - -, the sum of: ............................

(amount in words of your annual payment) 

and debit my account number: ........................................

Initial Payment               £.....................

Subsequent annual payment     £.....................


Signed: .............................................................


NAME: ...............................................................

Brian Randell, last updated 8 Dec 2001

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