Standing Order Authority

To: .............................………………………………............... (your bank)

................................................................................................... (its address in full)

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

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

Sort code ……-……-…… (your bank)

Account name ...........................................................……….. (your name)

Account number ................................... (your account)

Please make payments as follows to the debit of my account:

Payee: MCD OFFICERS’ ASSOCIATION,

Account No. 03301885

At the NatWest Bank, 130 Commercial Road, Portsmouth, Hants, PO1 1ES (56-00-64)

Amount: £ 10.00 (TEN POUNDS)

Quoting the reference: MCDOA - ANNUAL SUBSCRIPTION

To be paid on the first day of January 2..…… (insert year) and thereafter annually until this order is cancelled by me in writing.

This order cancels any previous orders to the same payee.

Date .................... Signature .........................................................