STRATFORD TOWN INDEPENDENT SUPPORTERS ASSOCIATION
LOTTERY APPLICATION FORM
EMAIL: ..TEL: .
I wish to join the STISA lottery, the money raised is to enable us to consider purchasing or replacing equipment which otherwise STFC may not be able to finance.
THE COST FOR JOINING THE STISA LOTTERY IS 5.00 PER MONTH AND WILL BE COLLECTED BY STANDING ORDER ONCE A MONTH. PLEASE FILL IN FOLLOWING BANK DETAILS:
ACCOUNT HOLDERS NAME:
YOUR ACCOUNT NO: BANK SORT CODE:
PLEASE PAY TO LTSB, 22 BRIDGE STREET, STRATFORD UPON AVON, CV37 6AG,
SORT CODE 30-98-26 ACCOUNT NUMBER 66794668
THE SUM OF ON THE DAY OF EACH MONTH, UNTIL FURTHER
YOUR LOTTERY NUMBER IS
SIGNATURE .. Date
SIGNED BY STISA .