Newtonmore Shinty Club

Newtonmore Shinty Club – Lottery

Bank Name………………………………………………………..

Bank Address……………………………………………………..

……………………………………………………..

I authorise you to pay the sum of £……….weekly/monthly/annually [delete as appropriate] to Bank of Scotland, Main Road, Aviemore for the credit of Newtonmore Camanachd Club Lottery Account 80-05-40 Account Number 00298597

Please debit my Account Sorting Code……………………………

Account number………………………………….

Signature……………………………………… Date………………

Ticket Numbers …. …. ….

Please return this form to the Secretary, Ian Gibson at Dail na Seilg 12, Loch na Leoba Road Newtonmore PH20 1BW