STANDING ORDER FORM

To Bank
Sort Code
Account No
Account Name
Branch Address

Beneficiary Name

Mityana Charity

Beneficiary Sort Code

40-47-09

Beneficiary Account Number

41515667

IBAN

GB11MIDL40470941515667

BIC

MIDLGB2113F

 

HSBC, 1-2 Market Place, Wokingham RG40 1AL.

Reference (optional)
Amount
Date of first payment
Amount of subsequent payments
(if different from first payment)
Date of final payment or
Until Further Notice (UFN)
Due date and frequency of payments
Signature
 
Date

The form does not "go anywhere" on-line.

Please fill in, print, sign and post the form to your bank and send a copy to:

Treasurer, Mityana Charity

57 Trevelyan, Bracknell, RG12 8YD