For Customer use only
To NatWest ..................................................................................................Branch
Please make the following payments by means of the NatWest Autopay Service. The names of the beneficiaries and the respective payment amounts and autopay reference numbers are detailed below. Please debit the sum of £1,379.46 Name of account to be debited
.........................................................................
Authorised Signatures
.................................................................................... AUTOPAY SERVICE
NAR CR Autopay reference number
90876 Keyed by: ..........................................................................
Waste and sequence number of final credit entry ............................................
Retain with Day’s Work
