New Standing Order Instruction

To(insert your Bank’s name and address from your cheque) ………………………………………………

…………………………….…………………………………………………………………………….………….…………………………

............................................................……………………………………………………………….........

 Please set up the following Standing Order and debit *my/our account accordingly

 *My/our account details: (insert your details from your cheque)

 
Account name………………………………………………………………………………………….

 Account Number __ __ __ __ __ __ __ __                 Sort Code __ __ - __ __ - __ __

 Please pay commencing……………………(insert start date) *monthly/quarterly/annually

 until further notice the sum of £___________.______

 Amount In Words:………………………………………………………………………………….

 on the *First /………………………… day of each month (or nearest following working day)

 toThe Fellowship of Word and Spirit(reg. charity 293159)

sort code 16-13-26,

account number 11766290

This Standing Order replaces all previous Standing Orders to The Fellowship of Word & Spirit

 Account holder signature(s):

Signature 1

Signature 2

Date

Name……………………………………………………………………………………………………………………….

Address……………………………………………………………….………………………………………..………….

………………………………………………………………………….…………………………………………………….

…………………………………………………………………………........Postcode………………………………….

 Notes

·        Delete appropriate options marked * and complete required spaces

·        Return form to The Fellowship of Word & Spirit (c/o 86 All Hallows Road, Bispham, Blackpool, FY2 0AY)

·        Keep a record for yourself

.If you are a tax payer, please complete the Gift Aid Form by following this link