STEVENAGE
MUSLIM COMMUNITY CENTRE
Registered Charity
Number: 1001003
STANDING ORDER MANDATE
| To | The Manager of | |
| _____________________ Bank/Building Society | ||
| Address | _____________________ | |
| _____________________ | ||
| _____________________ |
Please pay £_________ (in figures ___________________ pounds only) commencing now and thereafter on the _____ day of every month until further notice from me/us. And debit my/our account accordingly to:
Barclays Bank PLC
5/6 High Street, Hitchin
Hertfordshire, SG5 1BJ
| Branch Code No.: | 20-41-12 | |
| Account Number: | 80204889 | |
| Beneficiary's Name: | Stevenage Muslim Community Centre | |
| Account Name to be debited: | _____________________ | |
| Branch Sort Code: | ______ - ______ - _____ | |
| Account Number: | _____________________ | |
| Signature | _____________________ | |
| Signature | _____________________ (For joint accounts) | |
| Date: | _____________________ |