STANDING ORDER

(please complete in block capitals)

To: ……………………………………………………(name of your bank)

Bank ……………………………………………...........

address:

……………………………………………………

……………………………………………………

Name of account to be debited: ……………………………………………………….

Account no: …………………………… Sort code: ………………………….....

Please pay to: HSBC Bank plc

Sort Code 40-02-13

For the credit of: Account no: 71527878

Account name: Musequality

The sum of £ ……………… on………………………............ (date of first payment)

and at monthly/quarterly/annual intervals thereafter until ………………………

(delete as appropriate) (date of final payment)

or until cancelled by me in writing.

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

Name: …………………………………………………..

Address: .………………………………………………….

…………………………………………………..

…………………………………………………..

…………………………………………………..