STANDING
ORDER
Please print this page, fill it in and post to BARCLAYS
BANK PLC (see below for address)
Standing Order Form
Name and address of your bank (including postcode)
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Instructions to your bank:
Please make payments and debit my/our account:
Account number.....................................................Sort Code.................................................
In accordance with the following details:
Barclays Bank PLC,
72 Lane Green Road,
Bilbrook,
Wolverhampton,
WV8 1LX
Sort code 20-97-78
The account of Stafford, Wolverhampton and District Branch of the RSPCA
a/c no. 20085723
the sum of
£ ......................... per month/year (delete as appropriate) until further notice.
Starting on ........................................... (please insert
start date, leaving at least one month from today’s date)
Signature(s) .....................................................Date ............................. (today's date)
Your name (capitals please) (Mr/Mrs/Miss/Ms): ...................................................................
Address (capitals please):
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.................................................................................Postcode..................................................
Phone
..............................................................Email
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