If applying for Annual Membership also complete the Standing Order part of this form and post it to
A. V. MOSSCounty Secretary5 Dicconson TerraceLytham St. Anne’sFY8 5JY
BANKER'S ORDER
To …………………………………….Bank plc Branch Address ………………………………………………………………
Bank Sort Code ……………………… ………………………………………………………… Post Code …….…...
Please pay to BARCLAYS BANK plc (Sort Code 20 10 03), 56 St.Annes Road West, St.Annes-on-Sea, FY8 1UG, for the credit
of the Lancashire Union of Golf Clubs Ltd, Account No. 93560309, on the 1st January, 20….., and on each year thereafter for a
minimum of three years, the sum of FIVE POUNDS (£5).
Signed ………………………………………. Account No. ………………………….. Date ………………………..…
Address ………………………………………………………………………………………… Post Code …………………….
The Lancashire Union of Golf Clubs Ltd, 5 Dicconson Terrace, Lytham, Lancs FY8 5JY - Tel: 01253 733323 Fax: 01253 795721