STANDING ORDER MANDATE

PLEASE PRINT OUT THIS FORM, COMPLETE & RETURN TO: Membership Secretary - Ton Class Association, 11, Anderson Drive, Kettering, Northamptonshire NN15 5DG - Tel: 01536 521681

To: (Name of Bank).....................................................................................................................................

Banks address:...........................................................................................................................................

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

PLEASE TICK RELEVANT BOX:

On receipt of this order, please pay the Ton Class Association the sum of ten pounds (£10.00)

ACCOUNT TO BE DEBITED:....................................................................

ACCOUNT NUMBER:................................................................................

ACCOUNT NAME:.....................................................................................

BENEFICIARY DETAILS:

BANK:  Barclays Bank PLC, South Leicestershire Group, PO Box 483, Leicestershire LE3 0ZR

SORT CODE:                    20-49-08

ACCOUNT NUMBER:         40285919

BENEFICIARY NAME:        THE TON CLASS ASSOCIATION

PLEASE QUOTE REFERENCE:...................................................................................(To be allocated)

PAYMENT DETAILS:

Amount of First payment:        £10.00

In words:                                TEN POUNDS

PLEASE MAKE IMMEDIATE PAYMENT AND THEN SAME DATE ANNUALLY UNTIL FURTHER NOTICE.

CUSTOMERS SIGNATURE(S):...................................................................DATE.......................

CONTACT TELEPHONE NUMBER:............................................................................................