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STANDING ORDER FORM |
TO THE MANAGER .................................................................... BANK/BUILDING SOCIETY |
ADDRESS .............................................................................................................. |
...................................................................... POST CODE ........................ |
Please pay Royal Bank of Scotland Sort Code 83-20-23 |
For the credit of PARK FARM ANIMAL SANCTUARY |
Account Number 00220051 |
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AMOUNT (in figures) |
£ ........................... |
AMOUNT (in words) |
............................................................................... |
COMMENCING day of |
........................... (month) ......................... (year) |
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And on the ..... 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 |
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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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