GreenSpirit Standing Order Form to Print Out

For subscriptions or donations that you wish the Bank to make regularly on your behalf. (If you are a new member, please send this together with the membership form.)

 

 
To:_________________________________________ (the name of your bank in the UK)


________________________________________________________


___________________________________________________ (the address of your bank)

Please pay the sum of £_____________ to The Cooperative Bank, plc, 62-64 Southampton Row, Holborn, London WC1B 4AR, code 08-90-61 for the Association for Creation Spirituality A/C no 50033137

 

On _________________ (date) (please allow at least 1 month from the date of posting your letter)

 

And the same amount:
(1) Annually starting 1 year after the above date* OR
(2) Monthly starting 1 month after the above date*

* please delete as appropriate

 

until further notice.

From:

 

Name: ___________________________________
Address: ___________________________________
  ___________________________________
  ___________________________________
Post Code: ___________________________________
Bank Account Number: ___________________________________
Bank Sort Code: ___________________________________
 
Signed: ______________________________ Date: _____________
 
Note: £24 is the annual subscription rate. £12 is the concessionary rate for those people who live in the UK and could not otherwise afford to join.

 

Send this form to: GreenSpirit, 137 Ham Park Road, Forest Gate, London. E7 9LE.