Standing Order Confirmation

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Please complete this form to let the Club know that you have set up your standing order fees for returning to training. It has been agreed by the Executive Committee that all members will pay a flat rate of £12 per month initially however this will change as and when our pool time increases. Failure to set up your standing order will mean your swimmer is unable to train with the Club.

Swimmer Name *

Additional Swimmer Name

Please complete this if you have additional swimmers in the Club.

Additional Swimmer Name

Please complete this if you have additional swimmers in the Club.

I confirm I have set a standing order up of £12 per swimmer per month. *

Yes

The total amount of the standing order is: *

£12

£24

£36

Other:

I confirm that the membership fees will be in the Club account no later than 28th September 2020. *

Yes

Please enter the reference that will be attached to your standing order. *

Suggested reference: Surname_FirstName

Parent Signature *

Please type your signature as J. Smith.

Submit

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