Financial Times Fine Wine Plan in partnership with Standing Order…

Financial Times Fine Wine Plan
in partnership with




Standing Order Mandate
To your Bank (Name Bank)


Address
                                                                                    Postcode


Please pay: Fortis Bank, 5 Aldermanbury Square, London EC2V 7HR
Account Name: Lay & Wheeler Limited. Account No. 29243301. Sort Code 40-52-62       Please note: payments must be made in Sterling.



Quote Ref:                                                                          (Lay & Wheeler to complete)
The Sum of: £                                                                       (minimum £100 monthly)
Amount in words:



Commencing 1st                                     (Month)                            (Year)
and thereafter every 1st of each month until your receive written notice from me/us, please debit my/our account
accordingly. This instruction cancels any previous order in favour of the beneficiary named above.


Your Bank Details
Name of account to be debited
Account Number                                                                      Sort code                  /           /
Name/s (Capitals)


Signature/s                                                                         Date


OR


Credit Card Charging Authority
(Please note, we do not accept AMEX or Diners cards)
I authorise Lay & Wheeler to debit my credit card every calendar month until further notice.


with the sum of: £                                                                  (minimum £100 monthly)
Amount in words


Commencing 1st                                    (Month)                            (Year)
Credit card no:                                                             Expiry Date:
Issue number                                                                         or Start Date (Maestro):
Name as on card (please print):                                             3 Digit Secutity Code:


Cancellation
You may cancel this authority at any time. Lay & Wheeler undertakes to acknowledge all such instructions
in writing. For more information contact: Sarah Hopps on Tel: 01473 313 260, Email: sarah.hopps@laywheeler.com


Completed original forms to be returned to:
The FT Fine Wine Plan, Lay & Wheeler Limited, Holton Park, Holton St Mary, Suffolk, CO7 6NN