Astene Standing Order Mandate

 

To ..........................................................................
Name of bank or building society

 

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

...........................................................................................
Please pay: The National Westminster Bank PLC, 32 Cornmarket Street, Oxford OX1 3HQ
 Sort code number: 54-21-23
Account number: 87375605
For the credit of: TRAVELLERS IN EGYPT

The sum of:
£25 (Twenty-five pounds sterling)
£20 (Twenty pounds sterling)
£15 (Fifteen pounds sterling)
£12 (Twelve pounds sterling). Please delete as appropriate
Commencing immediately and thereafter on 1 January annually until further notice
and debit my/our account accordingly:

Account name(s) ...............................................................................................................................

Account address ...............................................................................................................................

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

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

Sort code ....................................................

 Account number ........................................................
Signature:

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

 

Date:

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

 

Please complete and return to:
ASTENE TREASURER, 5 Kenmare Mansions, Gondar Gardens, London NW6 1ET. Fax: +44 (0)20 7435 4911).