STANDING ORDER MANDATE
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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
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