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YOUR DETAILS
Title
__________________________________
Initials_________________
Surname
_________________________________________________________________________________________
Address
_________________________________________________________________________________________
_________________________________________________________________________________________________
__________________________________________________________________
Postcode_______________________
Tel
__________________________ E-mail
___________________________________________________________
BANKER ’S ORDER FORM
I wish to make a:
Single
Donation __ Amount
£___________________________
Regular Donation __
If you are making a regular donation please complete your
bank details below.
To ____________________________________Bank plc
___________________________________________________
Branch Address
___________________________________________________________________________________
__________________________________________________________
Postcode_______________________________
Please pay to: HSBC plc, 34 Westgate,
Ripon HG4 2BL
For the credit of: Ripon Cathedral
Development Campaign
Sort code 40:38:23 Account No:
61388584
Please debit my account for the sum of
£____________ on _____________ day of (eg April) __________
Year _______
and monthly/quarterly/annually (please delete as
appropriate) thereafter until further
notice.
Please debit from my
account:
Account no
__________________________________________ Sort
Code
____________________________________
Account Name
____________________________________________________________________________________
Signature
____________________________________________ Date
________________________________________
The names of all donors are acknowledged
from time to time in Cathedral publications.
If you do not
wish your name to appear, please tick here __
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