| Standing Order Form
To the Manager
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………………………………………………………………… |
Bank |
| Address: |
………………………………………………………………… |
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………………………………………………………………… |
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………………………………………………………………… |
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| Post Code: |
………………………………………………………………… |
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My account details are as follows:
| Account Name: |
………………………………………………………………… |
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| Account Number: |
………………………………………………………………… |
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| Branch Sort Code |
………………………………………………………………… |
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Please pay the sum of £ ……………………………… to the Mali Development Group
each month, on the ………………………………..…………………… of each month
commencing on ………………………………..……………………… and until further notice
Recipient Bank details are as follows:
Account Name: Mali Development Group
Bank branch: Lloyds/TSB, The Square, Botley, Oxford
Sort Code: 30-19-83
Account Number: 0215663
Signed: ………………………………………….
Date: ……………………………….…………
Please can you also sign a Gift Aid declaration and sent it to
Janice Hedge, Membership Secretary, MDG, 26 Emanuel Avenue, Acton, London W3 6JJ
as this enables us to claim the tax back on your payment and so increase your gift to the charity. |
