(Please detach, complete and return this form and send it to your Bank if you wish to pay by Standing Order)

THANK YOU FOR YOUR HELP

Standing Order Form

THE FRIENDS OF BITCHFIELD CHURCH
(Registered Charity no 1096368)

To:

Your Bank:_______________________________________________________

Branch:___________________________________________________________

Address:__________________________________________________________

_________________________________________________________________

_________________________________________________________________

Sort Code:________________________________________________________

Please pay Lloyds TSB plc, Grantham
Bank Sort Code No 30-93-58
to the credit of THE FRIENDS OF BITCHFIELD CHURCH A/C No. 00963454

the sum of £ _____________

commencing on:_______________

and thereafter every month/quarter/year

and debit my/our account accordingly.

Name/Title of account to be debited

Account No:_______________________________________________________

Signature(s): _____________________________________________________

Date: _________________________

This form should be sent DIRECT to your Bank