Corio Raptor Care

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Instruction to your Bank or Building Society

I wish to pay by standing order...

To the Manager of the _____________________

Branch Address __________________________

Please Pay: Natwest Bank
55 Main Street Kirkby Lonsdale, Carnforth, Lancashire LA6 2WY
Sort Code: 010481   For the credit of Corio Raptor Care
Account Number: 10033688

The sum of * £________

Commencing Date: ___________ and then * monthly/annually thereafter (*delete as applicable) until further notice in writing and debit my/our account accordingly.

Name of account to be debited: ____________________

Account Number: ____________

Bank Sort Code: _____________

Signature: __________________

Date: ___________