Please return this banker’s order form to your bank

I.A.L.T.

Irish Association of Law Teachers

__________________________________________________________________________

STANDING ORDER FOR PAYMENT IN STERLING

TO……………………………………………………….BANK

ADDRESS……………………………………………………..

………………………………………………………………….

On receipt of this order, and thereafter on the first day of OCTOBER each year, please pay to the BANK OF IRELAND, UNIVERSITY ROAD, BELFAST BT7 lNA (NSC 90﷓02﷓95) the sum of …………….for the credit of

the IRISH ASSOCIATION OF LAW TEACHERS, ACCOUNT No 53612297,

and debit my account with yourselves accordingly.

This supersedes any previous order by me in favour of the Association.

Annual Amount: *£____

£15(Ordinary Membership)/ £10(Associate Membership)

[*delete as appropriate]

FROM……………………………………………………………….

ADDRESS…………………………………………………

………………………………………………………………

ACCOUNT No........………………………………………………….

SIGNED………………………………………………………………

DATE…………………………………………………………………. --------------------------------------------------------------------------------------------------------

FOR OFFICE USE ONLY. .. . .

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