St Andrew’s United Reformed Church, Cheam
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St Andrew’s • Cheam
UNITED REFORMED CHURCH

Bank standing order

You may be able to set up a standing order on your bank’s website using the church’s details shown below, or you can print this form and complete it by hand. If you are setting it up online pleasestating the payment reference you have given to your bank below.

You can amend or stop your standing order at any time by contacting your bank.

Your bank and personal details

Name of your bank
Branch name *
Address *
Your full name
Your sort code
Your account number
Your contact phone number

* as shown on your cheques or statement

Standing order details

Recipient St Andrew’s Cheam United Reformed Church Charity
Recipient’s bank Barclays
Recipient’s branch Sutton
Recipient’s sort code 20-84-17
Recipient’s account number 60774219
Payment reference *
Payment amount £
Payment frequency ⬜ monthly • ⬜ quarterly • ⬜ annually • Please tick one
Date of first payment **
Duration Until further notice

* Enter your name as the payment reference, eg JSMITH
** Please enter date

Your instruction to your bank

I request and authorise you to make the payments described above, which supersede any previous standing order in favour of the named recipient.

Signed:

Date:

Send or hand the signed form to

Mr Alan Walls
Treasurer
St Andrew’s URC
Northey Avenue, Cheam
SUTTON SM2 7HF

who will record the details and forward the form to your bank.

The information you give on this form will be handled by the church strictly in accordance with its Privacy Policy.

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