To The Manager

Bank Name

Bank Address

Bank Account Number

Bank Sort Code

Please Pay

Payee Bank Name

HSBC

Payee Account Name:

Barrow Amateur Swimming Club

Payee Sort Code:

40-09-14

Payee Account Number

50132403

Payment Amount

Frequency

 Once a month

Date of First Payment

 (pref middle of month)

Reference

 (your child's name)

Your details

Company Name

Address

Signature:

Print Name: