Download Standing Order
 
Please complete the
STANDING ORDER MANDATE/PERSONAL DONATION FORM

in BLOCK CAPITALS

STANDING ORDER MANDATE

Name and full postal address of your bank/building society:
Account number:
Sort Code:
Name of account holder :
Recipient Name:
Recipient account number:
Recipient bank:
Recipient sort code:
Payment amount :
   
First payment date:
Payment frequency:
Monthly 
Quarterly
Half Yearly
Annually

Instruction to bank

Please set up the above standing order and debit my/ our  account until further notice

Date:
Personal Donation :
I wish to donate a sum of £ :
Name:
Tel no:
Address:
Are you Taxpayer? Yes No    
Date
 
   



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Deaf and Blind Aid Lanka (DABAL )