Please follow these steps before printing:
Right click with your mouse in this screen, then select the print option from your browser menu.

STANDING PAYMENT ORDER APPLICATION

TO:
STANDARD BANK
LENASIA - BRANCH NO 5137
Your account details
Full Name                                                                        
Name of Bank                                                                  
Which branch is your account with ?                              
Account Number                                                              
Payment details
Commencing date                                                        
3 business days before actual date of commencement
Do you wish payments to continue until you tell us to stop ? 
 yes           no           expiry date
Amount of payment                                                       R
The person or organization which will receive payments
Current a/c no.                                                                  
Type of contribution                                                           
DECLARATION
I agree that:
If there is not enough money in my account, the payment will not be made 
and I may have to pay a fee.
I cannot claim against Standard Bank if the payment is not made on the 
correct day for any reason
 
_____________________________
SIGNATURE
 
DATE

  this page, sign it, then fax or mail to L.M.A.

LMA Centre

P.O Box 1978

Lenasia

1820

Fax+27 11 852 2811