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|  | To:........................................................................................Bank.
Your Bank Postal Address:
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Please pay:           Barclays, The Northampton Group, PO Box 23, Northampton NN1 4YD
for the credit of:     Neuroweb Ltd, PO Box 186, Northampton, NN1 3ZW.
Account No:           909 465 83
SortCode:              20-61-51
the sum of:           £11.75 (includes £1.75 VAT)
Amount in words:      eleven pounds and seventy five pence
Commencing: Date of first payment .................................. and thereafter monthly until further notice.
Please cancel all previous standing orders in favour of Neuroweb Ltd
Your Account name to be debited:  ........................................................
Your Account number:                   ........................................................
Your Sort code:                             ........................................................
Your Signature(s):                         ........................................................
Date:                                            ........................................................
        
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 FOR OFFICE USE ONLY                                                        
 Standing Order reference  ........................................................... MUST BE QUOTED!!
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