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Sri Lankan Psychiatrists Association (UK)

Association of Psychiatrists of Sri Lankan Origin Practicing in the United Kingdom

Dear SLPA (UK) Member,

 
Following a decision taken at the AGM on 3rd Nov 2007, I would appreciate if you could cancel the existing direct debit instructions to the old SLPA (UK) account and make a new direct debit instruction to the currently operational account for the Association, the details of which are as follows:
 
Annual Membership Fee:
 
Full Membership (for all Psychiatrists of Sri Lankan origin)
 
Consultants - £25 
non Consultants - £20
 
Associate Membership (for other professionals of Sri Lankan origin who are associated with Psychiatry) - £15
 
Account Name: Sri Lankan Psychiatrists' Association (UK)
 
Bank: HSBC plc, Bedford, Allhallows
 
Sort Code: 40-10-02
 
Account No: 82421437
 
If you want us to set up the new direct debit on your behalf, you may fill the attached direct debit mandate form and post it to:  
 
Dr. Thilak Ratnayake
Treasurer - SLPA (UK)
8 Balmoral Avenue
Bedford MK40 2PT
 
Thank you.
 
Kind regards,
 
Anthony Fernando
Secretariat - SLPA (UK)

You may print the form below and send it to the address below or click here for a printed version

Sri Lankan Psychiatric Association (UK)

Standing Order Form

Your Name………………………………………………………………………………..

 

Address…………………………………………………………………………………...

            ……………………………………………………………………………………

            ……………………………………………………………………………………

Contact Telephone No……………………………………………………………………

 

Bank Details

To the Manager:

Name of your Bank….………………………………………..…………………………..

Address of your Bank.………………………………………..…………………………..

            ……………………………………………………………………………………

            …………………………………………Post Code………………………………

 

Bank Sort Code __ __ - __ __ - __ __

 

Account Number __ __ __ __ __ __ __ __ __ __

 

Please debit the sum of £ ……… annually to the following Account until further notice

 

Name of Account:        Sri Lankan Psychiatrists’ Association (UK)

Name of Bank: HSBC plc

Bank Sort Code:          40-10-02

Account Number:         82421437

 

First Payment Date:      __ __ / __ __ / __ __

 

 

 

Your signature: …………………………………………  Date: