BANKERS ORDER
To: The Manager,
…………………………………………………… Bank PLC
Address: …………………………………………………………
……………………………………………………………………………
Date: ...../.............../20.......
Please pay to Midland
Bank PLC, 196a Piccadilly, London WIV ODY (Sort Code: 40-05-27) for the
credit of "St Peter's Ealing Parochial Church
Council Current Account" No: 11256548
The sum of: £ ..................(...........................................................)
note I
On: ……………………………
note 2
and thereafter pay the same sum Monthly / Quarterly / Annually
note 3
until
further notice, and debit my account with each payment when made.
This instruction is to replace any current standing order in favour of the above named beneficiary's accounts
Address: …………………………… Signature:
…………………………………………
…………………………………………………………………………………………………
Name
(block capitals)……………………………………
Bank Sort Code:…………………………
Account No: ………………………………
Account Name: ……………………………
Note 1 - Please insert payment
in figures first, then in words in
the brackets.
Note 2 - Please insert date
of first payment -please allow time to
transmit this instruction to your bank.
Note 3 - Please delete as
appropriate
Please return this
form, completed, to
Rosamund
Rowe, Stewardship Recorder,
St Peter's Church Parish Office,
Mount Park Road,
Ealing,
LONDON W5 2RU