Standing Order Mandate
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To: Bank
or building society (name)
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Branch
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Sort code:
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Address
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A/C no:
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A/C name:
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Amount
of payment £……………to be paid every month
on
the 1st / 15th / 30th of each month (delete as appropriate)
Where
no preference given, donations will be set up for the 1st of each
month
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Amount of usual payment in words
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Signature
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Date
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Date of first payment will be first applicable
date following receipt of this instruction