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

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

 

 

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

 

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

 

Please send this form to: Membership Secretary HIHCT, 32, Sutherland Close, Whitehill, Bordon, GU35 9RF

Hampshire and the Islands Historic Churches Trust
Registered Charity No 299633