Standing order form

PAROCHIAL CHURCH COUNCIL OF COMBE

Banker’s Order

This cancels any previous banker’s order to Account No. 40697834 of the Parochial Church Council of Combe

To:

Name of your bank

Address

Your bank address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Please pay to: Barclays Bank Plc, Witney, Oxfordshire (Sort Code: 20-98-48 ) for the credit of the Parochial Church Council of Combe Account No. 40697834 the sum of £:

Amount in numerals:

Amount in words:

Now and a like sum monthly on the same day until further notice citing my surname as a reference (add your surname below):

Your surname

Name of account to be debited:

The name of your bank account

Sort code:

Your bank sort code

Account number:

Your bank account number

Signed:

Your name

Title:

Your title

Name: