100 CLUB Entry Form & Standing Order Form

Click on the Downloads or cut and paste or contact Elaine for a paper copy to be sent to you

Download Standing Order Form

Download Application Form

                    

     ELLCGA

    100 CLUB

**********************************

Entry Form

 

Name ………………………………   Telephone no ………………..

Address……………………………………

………………………………………  Post Code…………………….

I wish to apply to apply for membership of the ELLCGA 100 CLUB.

I have read the terms & conditions and undertake to abide by them.

Please tick appropriate statement

I wish to pay by lump sum and enclose my cheque made payable to ELLCGA for £60 …………..

Or

I wish to pay by monthly instalments and enclose my cheque made payable to ELLCGA for £5 in settlement of the first instalment and enclose a completed standing order form……………..

 

……………………………….Signature ………………….Date

Please return this form together with your cheque and standing order form if appropriate to  Elaine Dick, 8/6 Back Dean, Edinburgh, EH4 3UA

 Promoter – East Lothian Ladies County Golf Association per Elaine Dick, 8/6 Back Dean, Edinburgh, EH4 3UA - 0131 343 3635

Licensed and regulated under Gambling Act 2005 and The Small Society Lotteries (Registration of Non-Commercial Societies) Regulations 2007 (ref no. 284331)

Standing Order Form

To The Manager

Bank……………………………….. (Participant’s Bank)

Postal Address …………………………………………………………………………

…………………………………………………………………………………………

---

Please Debit my account (Participant’s Bank details)

Name of my account:

Sort code:

Account number:

And Pay the sum of Five Pounds (£5.00) to

Bank of Scotland

Sort Code: 80-13-28

Account Number: 10117864

Account Name: East Lothian Ladies County Golf Association

Date of First Payment: 3^rd June 2015

Frequency: monthly on the 3^rd of each month

Final payment: 3^rd May 2016

---

I hereby authorise you to set-up this standing order payment on my account:

Signed:………………………………………………………..   Date:…………………………

Name: (Block Capitals):…………………………………………………………………………..

Address:                                                                  Telephone: