Inrax Standing Order Form

You may either complete this form, print and mail it to us at our contact address, or your bank may offer online facilities for setting up a standing order (see the recipient Meier Pollard Ltd account details below). The contents of this web form are not saved by us - you may either print it and fill it all in by hand, or fill it in first then print it, either way please don't forget to sign and date. You may cancel the standing order at any time by contacting your bank directly.

To the Manager (Your Bank) (Branch Address)     (Post code)

Please pay to the Royal Bank of Scotland plc, 34-36 North St, Ashford, Kent into the account of Meier Pollard Ltd (Account Number 10068957, sort Code 16-24-64)

The sum of £   to be paid monthly Starting on / / (day / month / year) and monthly thereafter on (day of month)

Signed: ___________________________ Date:____________________

(Full name in capitals) (Your address in capitals)     (Post Code)

Bank Account Number Sort Code - -