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 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 Mrs. Lesley Brown,
Treasurer, 4 Brynton Road, Macclesfield SK10 3AF
Telephone 07789 744473
