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To the Manager (insert name of bank)
_____________________________________
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Insert address of
bank_________________________________________________
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PLEASE DEBIT my Account No.___________________ Sort
Code:____________and PAY to WOMENAID (Registered Charity No. 299224) Lloyds Bank
plc., 14 Berkeley Square, London W1X 6BJ (Account No. 0132024, bank sort code 30-96-48)
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the sum of ___________ on the__________________ day
of__________________200__ and annually/monthly/quarterly thereafter on the same
date until a total of _________annual/monthly/quarterly payments have been made or until
further notice..
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Signed___________________________________________ Date:_____________
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Name (block
letters)___________________________________________________________
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Address____________________________________________________________
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Postcode___________________________________________________________ Thank
you for committing to give regularly. Please indicate if you are giving monthly,
quarterly or annually. Please print the bankers order form, complete and
send it to:
WOMENAID
INTERNATIONAL
3
WHITEHALL COURT LONDON SW1A 2EL
TEL: +44 (0) 20 7839 1790
FAX: +44 (0) 20 7839 2929
E-MAIL: womenaid@womenaid.org
Reg. Charity No. 299224
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E-mail: support@womenaid.org
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