The Old Shebbearians' Association

Old Shebbearian War Memorial Fund Standing Order Form

Old Shebbearian War Memorial Fund

(Established 1924, Registered Charity No. 1109332)

Standing Order

Name of your Bank of Building Society..............................................................................................

Address.....................................................................................................................................................

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

................................................................................................................Postcode...................................

Sort Code.............................................................................   Account Number....................................

Please pay until further notice the sum of:-

........................................................................................................................................(amount in words)

..........................................................................................................................(amount in figures) to the:

Old Shebbearian War Memorial Fund, Lloyds TSB, Covent Garden, 22 Southampton Street, London, WC2E 7JB

Sort code 30-92-32, account number 00779213 monthly on the .................... (day of the month)

or yearly on ........................................................................ (day and month(

with a first payment on ............................................................................................................................

Name (block capitals) .............................................................................................................................

Address.....................................................................................................................................................

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

................................................................................................................Postcode...................................

Signature............................................................................................. Date.............................................

GIFT AID DECLARATION

As a UK taxpayer I wish the Old Shebbearian War Memorial Fund to treat all gifts I make from this date onwards as Gift Aid Donations until I notify them otherwise.

Signature............................................................................................. Date.............................................

Please return to:

David Shorney

81 Tarnwood Park

London

SE9 5PD

 
OSA Hon. Sec. is David Haley, Cold Norton Farm, Ockham Lane, Cobham, Surrey KT11 1LW
Tel: +44 (0)1932 863746 Fax: +44 (0)1932 866709 Website: www.oldshebbearian.co.uk