Standing Order Form

 

Standing Order Form

Name of Bank:

Branch:

Full Address;

I/we hereby authorize and request you do debit my/our account

Account name:

Account number:

Sort Code:

with the sum of £           per month/quarterly/yearly
(delete as appropriate)
and to Credit

The Church’s Ministry of Healing: The Mount

Account Number: 70041971

Sort code: 95-06-79

Danske Bank

Forestside Shopping Centre

Upper Galwally

Belfast BT8 6FX

Commencing on:     /    /
until further notice from me/us in writing.

Signature:

Date:     /    /

THANK YOU