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    Chrysolis Standing Order Form

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    lukascawley
    This document contains donation details for Chrysolis including the donor's name, address, email, and bank account information. The donor agrees to make monthly donations of a specified amount through a standing order to support Chrysolis' objects and aims. The first payment is scheduled to begin at least 10 days from today's date once the signed form is returned.

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    Chrysolis Standing Order Form

    Uploaded by

    lukascawley
    42 views1 page
    This document contains donation details for Chrysolis including the donor's name, address, email, and bank account information. The donor agrees to make monthly donations of a specified amount through a standing order to support Chrysolis' objects and aims. The first payment is scheduled to begin at least 10 days from today's date once the signed form is returned.

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    This document contains donation details for Chrysolis including the donor's name, address, email, and bank account information. The donor agrees to make monthly donations of a specified amount through a standing order to support Chrysolis' objects and aims. The first payment is scheduled to begin at least 10 days from today's date once the signed form is returned.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    42 views1 page

    Chrysolis Standing Order Form

    Uploaded by

    lukascawley
    This document contains donation details for Chrysolis including the donor's name, address, email, and bank account information. The donor agrees to make monthly donations of a specified amount through a standing order to support Chrysolis' objects and aims. The first payment is scheduled to begin at least 10 days from today's date once the signed form is returned.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
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    of 1

    My Details

    Title: __________________________________________________________________________________
    Name: ________________________________________________________________________________
    Address:_______________________________________________________________________________
    _______________________________________________________________________________________
    _______________________________________________________________________________________
    _________________________________________________________ Postcode:____________________
    Email: _________________________________________________________________________________
    My Giving
    My giving will be used to support the objects and aims of Chrysolis.

    My Standing Order
    Please pay to Cooperative Bank plc, Sort Code 08-92-99, Account Number 65552522, for
    the credit of Chrysolis,
    the sum of ___________ on the ________ day (number) of each month until further notice.
    Please make the first payment on: _____/_____/_____
    (this date should be at least ten days from today)
    Name and address of your bank/building society:
    Name: ________________________________________

    Sort Code: _____/_____/_____

    Town: _________________________________________

    Account Number:___________________

    Postcode: _____________________________________

    Signed: _________________________________________ Todays date is: _____/_____/_____

    Please print off, fill in, and return to:


    Chrysolis, 67 Longton Road, Trentham, ST4 8LS

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