St Andrew’s • Cheam
UNITED REFORMED CHURCH
UNITED REFORMED CHURCH
Bank standing order
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 URC 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.