BANKERS ORDER (BANK ACCOUNTS IN U.K. ONLY) To.....................................................Bank plc Address............................................................................................................................. .............................................................................................PostCode............................. On the 2nd January...........................................and on the 2nd January each year thereafter PLEASE PAY to the account of THE BIRMINGHAM AND MIDLAND SOCIETY FOR GENEALOGY AND HERALDRY, Account Number 00152086, Bank of Scotland (Sort Code 12-05-65) at 124 Colmore Row, Birmingham B3 3AU, the sum of: £.....................and......................p (say ................pounds and ......................pence) until further notice from me/us, debiting my/our Account No ......................................... This cancels all previous instructions relating to BMSGH. Please quote Membership Number ............................... when making payment. Signature.................................................................................................. Name in BLOCK CAPITALS........................................................................................... Address............................................................................................................................... ..........................................................................................PostCode....................................