Please post to

The Lottery Office
Rochdale Hornets RLFC
P.O. Box 48
Rochdale OL16 1PE


YES - I want to become a member of the Rochdale Hornets SATURDAY YANKEE lottery and pay
my weekly subscription of £1 by standing order:

If you require more than 1 entry then please specify the number here ....... and just multiply the values
below by the number of entries you require.

Monthly: £4.33
Quarterly: £13
Half Yearly: £26
Yearly: £52
(please tick one)

Name.............................................................
Address.........................................................
.....................................................................
.....................................................................

STANDING ORDER INSTRUCTION

To the manager

Name of your bank...............................................................
Address of your bank...........................................................

Please make the payments detailed below and debit my account:
Account number...............................................................
Amount of payment...........................................................
Amount in words...............................................................
Frequency of payments.....................................................
Date of first payment.........................................................

Please continue payments until further notice

Signed...........................................................
Date..............................................................

FOR OFFICE USE
Bank to which payments are to be made:
LLOYDS TSB
Town Hall Square
Rochdale

Amount to be credited..................................
Rochdale Hornets Development Association
Account Number: 19859360
Sort Code 77-01-11