STANDING ORDER FORM
|
TO THE MANAGER ....................................................................
BANK/BUILDING SOCIETY |
ADDRESS .............................................................................................................. |
......................................................................
POST CODE ........................ |
Please pay HSBC DINNINGTON Sort
Code 40 - 39 - 07 |
For the credit of THORNBERRY ANIMAL SANCTUARY |
Account Number 31691686 |
|
AMOUNT (in figures) |
£ ........................... |
AMOUNT (in words) |
............................................................................... |
COMMENCING 1st of |
........................... (month) ......................... (year) |
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And on the 1st of each month thereafter. |
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|
* UNTIL |
Date ................................................... |
*OR UNTIL YOU RECEIVE NOTICE FROM ME/US IN WRITING |
| ( * Please delete the option that does not apply) |
| |
|
PLEASE DEBIT MY/OUR ACCOUNT ACCORDINGLY |
Name |
|
Account: Sort Code |
........................................... Account
Number .............................................. |
Signature(s) |
............................................................................................................... |
Date |
........ / ........ / 20...... |
|
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Please take/send this form to your Bank/Building Society |
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