PLATT C. E. PRIMARY SCHOOL

200 CLUB FORM

Please complete this form and return to:

200 Club Form

Platt C. E. Primary School

Maidstone Road

St. Mary’s Platt

Kent TN15 8JY

You have the chance to win either £50 First prize or £25 Second Prize every month for the next twelve months and at Christmas the prizes increase to £100 and £50! Some lucky members have won more than once during the last few months.

Don’t forget you can increase your chances by buying additional numbers.

The school and children have benefitted from the money generated by the 200 Club. Due to the school being Voluntary Aided we have an obligation to pay from the Governors fund 10% of all capital projects undertaken at the school. The 200 club together with other governor fundraising events helps raise the necessary 10%.

I wish to join the Platt Primary School 200 Club. I agree to the rules and to subscribe £1.00 per month payable annually. I understand that my membership number(s) will be included in all draws held by the Club.

Please tick the relevant boxes below:

ÿ  I wish to apply for ………… numbers @ £1 per month to 30/9/18 (paid annually in advance @ £12 per membership number).

ÿ  I enclose cash/a cheque (made payable to Platt Primary School Governors’ Fund) to the value of £ in respect of my subscription to 30/9/18

ÿ  I have arranged for a standing order to be set up with my bank for £12 (per membership number) paid annually on 31st October into the Platt Primary School Governors’ Fund until further notice (standing order mandate attached which can be completed and sent to your bank or the standing order may be set up via online banking).

Signature……………………………………… Date………………………

Name

Address

Tel. No.

Email.

STANDING ORDER MANDATE
YOUR DETAILS:
Full Name:
Address:
Postcode:
Bank Name
Bank Address
Postcode

Sort Code No: Your Account Number

PLEASE PAY:

Recipients name

Platt Primary School Governors’ Fund

Recipients bank and branch name

NatWest Bank

43 Swan Street, West Malling, Kent ME19 6HF

Recipients Sort Code No. Recipients Account No.

51-81-07 00608432

Date of first regular payment Amount and frequency thereafter

31 / 10 / 17

£12 Annually

Payment Reference (Initial and Surname)

Until further notice in writing

Signature______Date:______