Donations Form
Standing Order Donation Form (Please Print)
Heart of Asia (Registered Charity: 1114708)
| To: |
The Manager |
| Bank Name: |
|
| Address: |
|
| Please pay... Payee: |
Heart of Asia |
| Account no: |
12247860 |
| Swift Code (Goes
in front of the Sort Code if sending money from outside the UK: |
GB21MIDL |
| Sort code: |
40/47/17 |
| Address: |
HSBC, Broad St. Worcester WR1 2EJ |
| quoting
customer’s name as reference... |
| Amount: |
£ |
| Frequency: |
monthly / quarterly / annually (please
circle) |
| Starting On:
|
______ / _______ / _______ (dd/mm/yyyy) |
| until further
notice from my account... |
| My Acct No:
|
|
| My Acct Sort
Code: |
_____ / _____ / _____ |
| In Name Of: |
|
| Signed: |
|
Date: |
|
Please give your tax too by signing the Tax Redemption
form. |