Jesus House Education Fund

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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


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