CYMDEITHAS HANES LLEOL RHUTHUN     RUTHIN LOCAL HISTORY SOCIETY

BANKER’S ORDER

Details of your account where payments will come from:
BANK OR BUILDING SOCIETY        _________________________________________

ADDRESS                    _________________________________________ 

                        _________________________________________

SORT CODE                    _________________________________________ 

ACCOUNT NAME                _________________________________________ 

ACCOUNT NUMBER            _________________________________________ 

​

Details of the Society’s account where payments will be sent:
BANK                        NATWEST BANK, MOLD BRANCH
SORT CODE                    54-41-06
ACCOUNT NAME                RUTHIN LOCAL HISTORY GROUP
ACCOUNT NUMBER            22852840
*REGULAR PAYMENT OF             £________________     
ANNUALLY,  STARTING ON                   _      until further notice
NAME                        _________________________________________

ADDRESS                    _________________________________________      

                       _________________________________________

SIGNATURE                    _________________________________________

DATE                        

* Annual subscription £5 individual, £10 couple

A WNEWCH CHI DDYCHWELYD Y FFURFLEN AR ÔL EI LLENWI I’CH CANGEN BANC
PLEASE RETURN COMPLETED FORM TO YOUR BANK BRANCH.