I/we wish to support Animal Welfare Of Luxor in their work for the animals.
Please debit my/our account monthly. |
£10 |
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Other £ |
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To the Manager: |
Name of your Bank |
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Address of your Bank |
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Post Code
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Name of Account Holder(s) |
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Sort Code Number
Top right corner of cheque |
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Bank Account Number |
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Signature(s)
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Please pay monthly from the date below, and until further notice. |
Commencement Date
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Your name(s) and address, please print |
Name |
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Address |
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Post
Code |
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Telephone |
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E-Mail |
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Your donation will go directly to the ANIMAL WELFARE OF LUXOR account at:
HSBC BANK PLC, 54 HIGH STREET, EPSOM,
SURREY, KT19 8DS
Branch Sort Code: 40-20-24 Account Number: 51621076
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