Information about http://www.openrightsgroup.org/wp-content/uploads/org-so-form-a4.pdf

Join the Open Rights Group …

Tags: bank plc, bank sort code, branch address, business direct, co operative bank, concession, details name, duke, further notice, london wc1h, mr ms, postcode, road london, salutation, signature, standing order mandate,
Pages: 1
Language: english
Created: Mon Jan 8 16:16:10 2007
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                    Join the Open Rights Group
                   Please complete and return this standing order form to:
                   Open Rights Group, 12 Duke's Road, London WC1H 9AD

                                        Your details:
Name:                                                    Salutation (Mr/Ms/Dr/etc)


Address:



Postcode:

Email:




         Making a regular contribution is the best way to support our work, it costs us
                        less to process and helps us plan in advance.

                              Concession: @2.50 per month
                           Standard donation: £5 per month
                         'We love ORG' donation: £10 per month

                                Standing Order Mandate:
Name of bank:                                            Sort Code:


Branch:


Branch address:




Please pay The Co-Operative Bank PLC, business direct, PO BOX 250, Skelmesdale WN8 6WT
(Open Rights Group, sort code 08-92-99, account number 65185766) the sum of £______
and in words, ______________ __________________. monthly on the _____ of each
month, beginning _______ until further notice in writing and debit my account accordingly
.
Account Number:                                Account Name:



Signature:                                               Date: