Standing Order template

Page 1

STANDING ORDER FORM To the Manager

I/we hereby authorise and request you to debit my/our Account Name*

Account Details Sort Code

Account Number

Amount

Frequency

£

Beginning Date

End Date Until further notice

Number of Payments n/a

And Credit Pilrig St. Paul’s Church

Sort Code

Account Number

82-62-31

80466989

Quoting Reference (Your Name)

Signed

Block Capitals


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