Back to Home Page

STANDING ORDER MANDATE OR DIRECT DEBIT FORM


In favour of St.Thomas’ Church Henbury and Broken Cross


Please Tick Relevant Box:-  .     .      NEW INSTUCTION


                                                   .  PLEASE AMEND PREVIOUS STANDING ORDER


ACCOUNT TO BE DEBITED


TO THE MANAGER  .                                                         .      BANK PLC.


SORT CODE                                -               -                      


ACCOUNT NO                                                                                                                      


ACCOUNT NAME                                                      .

----------------------------------------------------------------------------------------------------------------------


BENEFICIARY DETAILS


Barclays Bank Ltd., Wilmslow Branch.        


SORT CODE        20 - 53 - 77  


ACCOUNT NO    4 0 7 7 5 8 1 9  


BENEFICIARY NAME     ST.THOMASHENBURYPCC


REFERENCE       
.                        .

----------------------------------------------------------------------------------------------------------------------


PAYMENT DETAILS


  AMOUNT OF FIRST PAYMENT                    .                DATE OF FIRST PAYMENT       . ..   –            –

  
   AMOUNT OF USUAL PAYMENT    
.  


  AMOUNT OF USUAL PAYMENT IN WORDS   .                                                                  .


 WHEN PAID.   WEEKLY                  MONTHLY                          ANNUALLY          Y                                 


 PLEASE CONTINUE PAYMENTS UNTIL FURTHER NOTICE             YES        Y  


CUSTOMER SIGNITURE(S)  .                                                                             DATE            -              - 2 0    .   .        


                                                                              .                                          


CUSTOMER CONTACT TELEPHONE NUMBER   ......................................  

----------------------------------------------------------------------------------------------------------------------------


GIFT AID


If you pay TAX please consider “Gift Aid”. This increases the value of your donation as the Church can claim tax back

-----------------------------------

I wish to Gift the above donation and all future donations. I am a U.K. tax payer and I confirm that the amount of Gift Aid claimed on all my donations in each tax year is less than the total amount of income tax and capital gains tax that I pay in each tax year


  FULL NAME  .                                                                                 .


   ADDRESS  .                                                                                    .     POST CODE    .        .    .        .


   SIGNATURE (if different from above)                                               .


   Please return to  or  send a copy to Howard Hulme,

  Gift Aid Officer, 11 Worthington Close, Henbury, SK11 9NS

  Telephone 01625 429075 or Howard.hulme@sky.com or Roystonwaller@aol.com












£

          



£
















Back to Home Page

Please use the print facilities in your browser to print this page.