Standing Order Form
Regular income helps us plan, and every donation is extremely welcome.Please complete this form to donate by monthly standing order.
To: The Manager,
Your Bank/Building Society:
| Name | |
| Address | |
Please set up a Monthly Standing Order in favour of Sheffield Green Party.
Account to be debited:
| Account name | |||||||||||
| Sort code | |||||||||||
| Account number | |||||||||||
Transfer details:
| Amount ( £5 £10 £25 … ) |
|
| Transfer date (the day of the month to debit your account eg: 19th) | |
| Payments to start on (date, at least 14 days hence. Eg: 1st July 2011) |
Authorisation:
| Signature | |
| 2nd signature (joint accounts only) |
|
| Date |
Account to be credited:
| Account name | Sheffield Green Party |
| Sort code | 08-92-99 |
| Account number | 65151376 |
|
Your contact details
|
Thank you! Please send the completed form to:
The Treasurer,
Sheffield Green Party,
144 Chorley Road,
Sheffield S10 3RN.
