XhostTellnet Ltd Standing Order Form

Complete the form with your details, then click on the "Print this Page" button or print directly from your browser. Please ensure that you :-
  • sign the printout,
  • then fax to XhostTellnet (Fax Int:+44 (0)872 110 4546) or post a copy if you prefer.  This is so that we can log your standing order in our payments system
  • and finally send the original to your bank
1. Your Details
To: Bank plc.
Address: Sort code: 
  Account no:
   
   
Post code:  
Name of account to be debited: 
Contact name
Your contact telephone number:
2. Standing Order Details

Please pay:

Lloyds TSB plc

Branch:

Hayle

Sort code:

30-13-88

For the credit of:

XhostTellnet Ltd

Account No.

00795486

Your payment reference:

Usual payment amount: £

Usual payment in words

Commencing:

Every:

Until:

Until further notice

With a first payment of: £ on the (if different from usual payment) 

With a final payment of: £ on the (if different from usual payment) 
First Signature  ____________________________    Date  ____________
Second Signature ____________________________   Date ____________