Redcar Gymnastics and Sports Club

Request to pay by Standing Order

Please complete the details below then return the top to the gym club and take the bottom to your bank.

Name of Gymnast/s:………………………………………………………………………………..

Name of Parent/Carer: ……………………………………………………………………………

Address:………………………………………………………………………………………………

………………………………………………………………………………………………………….

Name on Bank Account……………………………………………………………………………

I wish to pay my son/ daughter’s monthly fees by standing order. I understand that the monthly rate is based on a breakdown of 49 weeks per year. If I wish to cancel the standing order I will notify the club immediately. Any additional training sessions (including dance sessions) will be paid for by cash/ cheque at the start of the session.

I understand that the monthly rate will be £…………… Starting from: ………………………

Signed……………………………………….. Date………………………..

…………………………………………………………………………………………..

To My Bank. Please set up the following standing order and debit my/our account accordingly.

My Bank details are:

Bank Name: ………………………………………………………………………….

Account Name:……………………………………………………………………….

Account Number:………………………………………………………………………

Sort Code:……………………………………………………………………………..

Payee Details:

Payment Reference (Gymnast’s name):…………………………………………………………….

Monthly payment: £…………………………….

To be taken on 2nd day of each month.  The payments should commence from: ……………………………………….

Signature………………………………………… Date………………………………….