STANDING ORDER MANDATE



[pic]

STANDING ORDER MANDATE

|To: |The Manager |

|Bank name: | |

|Bank address: | |

| | |

| | |

|Please pay: |The Co-operative Bank |

| |62-64 Southampton Row |

| |Holborn |

| |London |

| |WC1B 4ND |

|For the credit of: |The Mary Ward Centre |

| |Account Number 65084809 |

| |Sort Code 08-90-61 |

|The sum of (in numbers and words): | |

|Commencing on the day of in the year and thereafter every month/year until further notice |

|and debit my account accordingly:- |

|Account name to be debited: | |

|Account number: | |

|Sort code: | |

Signature: ____________________________________

Date: ______________________

This Standing Order Mandate supersedes all previous standing orders to the Mary Ward Centre

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download