St Margarets - Standing Order Form

To the Manager	________________________________ Bank Plc
Address	_______________________________________ _______________________________________
Post Code	_____________

Please Pay to St Margaret's PCC
At NatWest Bank Plc
PO Box 959, 96 Brighton Road,
Coulsdon, Surrey. CR5 2YS

Sort Code: 60-06-14
Account Number: 29461871

The sum of £ _________ (___________________________________________ Amount in words)
Commencing on the _____ day of ____________ 20___ and the same amount every month/quarter/half-year/year until further notice debiting my account with each payment when made.

This is a new standing order. Yes/No (please complete details below if replacement)

This order replaces an existing order of amount £ ______ freq _______ payable to St Margaret's PCC

Signed	_______________________________________
Date	_______________________________________
Address	_______________________________________ _______________________________________
Post Code	______________
Account Name	_______________________________________
Account Number	______________