Standing Order Form

Please Print this Web Page

If you would like to make a regular donation to Wellcat via standing order please print this web page directly from your web browser, complete, and return to us at the following address:
30 Quinton Road West, Quinton, Birmingham, B32 2QD:

To the Manager:


Bank:


Address:



Postcode:



Account Number:


Date:


Please pay National Westminster Bank Plc, 2 Hagley Road, Halesowen, West Midlands, B63 4RQ, sorting code number: 60-09-39 for the credit of Wellcat account number - 85254606 the sum of £………and thereafter on the same day monthly / quarterly / annually* until you receive further notice from me / us* in writing.

*Delete as applicable.

Commencing (date of first payment):


Note: This instruction cancels any previous order in favour of the above named beneficiary.

Name:


Address:




Postcode:


Signature/s: