STANDING ORDER MANDATE
To:
The Manager
Bank address:
(your bank)
[Bank Name]
[Bank Address]
Please pay:
Skelmersdale Branch
The Co-operative Bank
10 Market Street,
Wigan,
WN1 1JN
For the credit of:
Bank Details:
The Farm Animal Sanctuary
Account Number
65484166
Sort Code
089299
The sum of:
Amount [xxxx.xx] (In words also)
Commencing on [Day/Month/Year] and thereafter on the [Day] day of the month until
further notice and debit my account accordingly:Account to be debited:
[Payees bank account name]
Account number:
XXXXXXXX
Sort code:
XX-XX-XX
Signature: ____________________________________
Date: ________________________________________
This Standing Order Mandate supersedes all previous standing orders to The Farm Animal
Sanctuary
The Farm Animal Sanctuary, Manor Orchard Farm, School Lane, Middle Littleton, Evesham,
Worcestershire, WR11 8LN