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Standing order form - Ekklesia partnership

Standing Order

Please print this page (click on the 'printer friendly version' option at the bottom right of this page) then fill out and send this form to:-

Ekklesia
21 Tooting Bec Gardens
London SW16 1QY

We will then send the form to your bank



 To the Manager ............................................................................ Bank


Address:...............................................................................................


............................................................................................................


.................................................. Post code:.........................................


Please debit my account (name) ............................................................


(number) ..............................................................................................


and credit National Westminster Bank, Streatham Branch, sort code 60-20-39


for the account of Ekklesia, account numer 42525527


the sum of £5 on ...........................(insert date of first payment),


and the same sum on the same date of each month thereafter.


Signed:..............................................................................................


Dated:...............................................................................................


Full name:.........................................................................................


Address:...........................................................................................


........................................................................................................


........................................................................................................


Post code:................................ Email:.............................................