logocleaners
Standing Order Mandate Form
Personal Details
Name Bank / Building Society:
Branch Address:
Town/City:
County:
Post-Code:
 
Account Holders Name:
Account Holders Sort-Code:
dash
dash
Account Number:
 
Payment Details

Please pay: Barclays Bank, 1 North End, East Croydon, Croydon, CR0 1TY

Account Name: Cleaners Clean Ltd

Sort-Code 20-24-61 | Account Number: 33042650

The Sum Of: £
 
Frequency:
* Weekly/Fortnightly/Monthly.
Starting From:
blackline
 blackline
 
End Date
blackline
blackline
*leave blank if ongoing.
Signature:
 
 
Date:
blackline
blackline
* Until I confirm cancelation
 
Official Use Only
Please Quote This Reference number:
*Please enter your invoice number as the transaction reference.
Cleaners Clean Ltd, 170 Woodside Green, London, SE25 5EW
Tel: 020 8655 0086
 divider
divider
Web: cleanersclean.com