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Standing Order Form

If required, this form may be downloaded, filled in and sent to the Church Treasurer

STANDING ORDER

To the Manager ________________________________________________ Bank

Branch address _____________________________________________________

Please pay to Lloyds TSB plc (sort code 30-99-19, account number 01031622) for the credit of the PCC of Great Crosby St Faith:

the sum of £ ______________ (in words) _________________________________

on the ________________ day of (month) _________________ (year) _________

and thereafter on the same date monthly unless cancelled by me in writing

This order supersedes my existing order to St Faith’s Church.

(please delete if not applicable)

Name of account to be debited

Sort code

Account number

Name _____________________________ Signature _______________________

Address ___________________________________________________________

____________________________________ Postcode ______________________

Reference (name of payee) ____________________________________________