Please complete the panels on this screen, then print out the page, complete, sign and date it and mail to the address below

Hampshire and the Islands Standing Order Mandate

To the Manager:
Bank Name
Bank Address




Post Code

Please make the payment detailed below until further notice, debiting My/Our Account as follows:
Bank Sort Code
Account Number
Account Name

 

Please pay:

Hampshire & the Islands Historic Churches Trust

National Westminster Bank PLC
105 High Street,
WINCHESTER,
Hants. SO23 9AW

Sort Code: 55-81-26

Account Number: (to be filled by the Membership Secretary)

The sum of (amount in words) …………………………………………………………….( £ …………………..)

On ……/……./……./ and on that date annually, until I cancel this Mandate.

This Mandate supersedes all other standing orders I/we have with Hampshire & the Islands Historic Churches Trust.

I understand that this information will not be communicated to other persons or organisations.
The HIHCT GDPR Privacy Notice can be viewed on the website www.hihct.org.uk

 

 

Signed…………………………………………………………………………………………. Date…………………………………………...

 

Print Name.................................................................................

 

Please send this form to, not the bank : Membership Secretary HIHCT, 36 Swanwick Lane, Swanwick, Southampton SO31 7HF

Hampshire and the Islands Historic Churches Trust
Registered Charity No 299633