DONATIONS – THANK YOU FOR YOUR GENEROUSITY
STANDING ORDER
MANDATE
To: The Manager
Bank: ………………………………………………….
Address:
…………………………………………………………..
……………………………………………………………………..
Postcode: …………………………………………………..
Please pay to: Barclays
Bank
Sort Code: 20-67-90
Beneficiary: Newham
Christian Peoples
Alliance
Account: 03795330
Amount: £……………
………………………………………………....................... (amount in words)
Starting from
…………………………….. and thereafter at Monthly/Quarterly/Annual*
intervals until revoked in writing. [*delete as necessary]
When paying
please quote name (initials and names):
|
D* |
|
Debit my Account Name: ………………………………………………………………………………….
Sort
Code: …… --
……--…… Account Number: ………………………………….
Signature(s):
……………………………… ……………………………… Date ………………
______________________________________________________________________________________
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PLEASE
FILL IN YOUR DETAILS
Title: …… First name:
………………………….. Surname: ……………………………
Address:
…………………………………………………………………………................................
……………………………………………………………… Postcode
………………..
Email: ………………………………………………………………………………………
Home Tel: ……………………………
Work Tel: ……………………….. Mobile Tel: …………………………….
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Please Send To: