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Manx Retirement Association 200 Club


It would be appreciated if part years could be paid by cheque and a standing order form completed for subsequent years to commence the following October.

a)   I wish to subscribe for  ………. number(s) in the 200 Club and

      will pay annually each October by Bank Standing Order.

[Please complete form below]


and/or


b)    I enclose my cheque for the annual or part period

        ……………... 20__  (mm/yyyy) to  ………………..  20__      payable to MRA

       200 Club for £ …………….   and wish to subscribe for  ………..   number(s)


Name    ………………………………………………………………………

Address   ………………………………………………………………………

              ………………………………………………………………………

    ………………………………………………………………………

    ………………………………………………………………………

Tel. No.    ……………………….   

E-mail       ………………………………………………………………………

To save on postage those paying by cheque will be reminded to renew by a notice in the Islander each September.


Applications should be sent with your cheque/standing order (printed below)  as applicable to the MRA office

Manx Retirement Association, West House, West Street,

Ramsey IM8 1AE


Tel: 01624 817007 E-Mail mra@manx.net


BANK STANDING ORDER


The Manager,    …………………………………………………  Bank


Address   ……………………………………………………………………..

              ………………………………………………………………………

     ……………………………………………………………………..

Post Code …………………………………………


Account title         …………………………………………………….....

Account number …………………………………………………………..

Sort Code       ……………………………………….

Please pay to the Manx Retirement Association 200 Club

The sum of £ …………. every year starting on 1 October …………

and until further notice and debit my/our account as above.

Signature(s) ……………………………………………………………….

Date ………………………………


To the Bank.


Please pay to the Manx Retirement Association 200 Club.

Account number 57145660  

Sort Code 55-91-00

at

Isle of Man Bank Eastern Region

PO Box 13, Douglas, Isle of Man IM99 1AN