Standing Order Form

If you wish to make a Standing Order, please print out and fill in this form and return it to the address below, together with the Gift Aid Declaration Form.

Name of Charity: North Bristol Community Project

To (your Banks name)...............................................

Address............................................................

...................................................................

Sort Code................... Account no............................

I would like to make a regular donation by Standing Order

Monthly / Annually (delete as appropriate)

To the value of £............

Amount in words....................................................

Please pay to North Bristol Community Project

on .../.../... and thereafter the same amount on the same day

each Month / Year (delete as appropriate).


Signed.............................................................

[Print Name].......................................................

Please return to: The Co-ordinator, North Bristol Community Project, 160 Gloucester Road, Bishopston, Bristol, BS7 8NT