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:
