CSR - International Standing Order Mandate To: The Manager Name and address of your Bank or Building Society ............................................................................................................................. ............................................................................................................................. ............................................................................................................................. Post Code ............................................................................................................ Account Name: ................................................................................................... Branch Sort Code: .............................................................................................. Account Number: ...............................................................................................
INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY Please pay by standing order the sum of £ ..................................................... (In words) ............................................................................................................ On the................................
day of every month until ...................................
Date of first payment: ........................................................................................ To: Bank
Jesus House - CSR International Lloyds Bank Plc 50 Notting Hill Gate London W11 3JD Sort Code 30-96-19 Account no 00764656 REF: ........................................................(Your name and Project Type)
SIGNATURE (S).................................................................................................... DATE ....................................................................................................................
I WOULD LIKE TO DONATE THE SUM OF £............... CHEQUE CASH (PLS TICK OPTION) REGISTERED CHARITY NO. 1088614