Standing Order Form

If you would like to make a regular donation to help the local cats then please print off this page, complete the mandate below and send it to Jenny. PLEASE POST THIS PAGE TO

Jenny Nevard. 3 Brigg Lane, Carlton Le Moorland LN5 9HP

 OR ALTERNATIVELY SCAN IT OR COPY AND E MAIL TO JENNY AT            

djnevard@jender.plus.com

PLEASE PAY SANTANDER Account : 69555183 Sort code : 09 01 55

YOUR DETAILS

name ……………………………………………………………………….

address……………………………………..……………………………..

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. ………………………………………………………………………………

YOUR BANK DETAILS

name…………………………………………………………………

address……………………………………………………………..

…………………………………………………………………………

…………………………………………………………………………

…………………………………………………………………………

I wish to pay £ ……………………. monthly

on the …………….. ………..day of each month

commencing on …………………………………………………

name of account holder ………………………………………………….

account number …………………………………………………

bank sort code………………………………………………..

signature(s) …………………………………………………..

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