Bluebell Railway Preservation Society

LAND PURCHASE FUND

STANDING ORDER AUTHORISATION

To the Manager . . . . . . . . . . . . . . . . . . . . . Bank PLC
Address  . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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Post Code  . . . . . . . . . . . . .

Please pay £ . . . . . on . . / . . / . . . . then monthly thereafter to
the account of B.R.P.S. as follows:-

National Westminster Bank            Sort Code 60-10-26
1, Muster Green,                     Account 61004626
Haywards Heath                       Name BRPS Deferred Payment Scheme
W. Sussex  RH16 4FB

Name  . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . .
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. . . . . . . . . . . . . . . . . . . . . . Postcode  . . . . . . . . . . . . . .

Signed  . . . . . . . . . . . . . . . . . .

Bank Account Number . . . . . . . . . . . . .  Sort Code Number  . . - . . - . . 
Please return this form to:
Hon. Treasurer, BRPS, Sheffield Park Station, E. Sussex TN22 3QL
(not to your Bank)
Internet Land Purchase Fund Form, May 2002