BANKER’S  ORDER

To the Manager,  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Bank, Branch :  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                         

Sort Code : __ __-__ __-__ __ ,

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

Please pay to account number 00609171 in the  name of The PCC of Smannell with Enham Alamein at the Lloyds TSB Bank plc, Andover Branch, Sort Code 30-90-21, 

the sum of  £ . . . . . . . . . . . . . . . . . . . (figures) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .(words)                       on the . . . . . . . . . . . . . . . . .day of (month) . . . . . . . . . . . . . . . . . . . . . .  (year) . . . . . . . . . . . . . . . . . . . . .   and on the same day in each succeeding [month]   [quarter]   [year] *   until I tell you otherwise in writing,

and debit my account (number . . . . . . . . . . . . . . . . . . . . . . . .) with each payment made.

This order supersedes any previous banker’s orders I have made to the above payee.

. . . . . . . . . . . . . . . . . .                      . . . . . . . . . . . . . . . . . . . . . . .                                                          Date                                                Signature                

               Name:            . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

               Address:         . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Please return this Banker’s Order to the Gift Aid Secretary:

Rod Bowker, Jubilee House, Smannell, Andover .  SP11 6JW

Enter the name and address of you bank in block capitals

Enter the amount in Figures and words

Enter date of 1^st payment

* Delete as appropriate

Enter your bank account number

Enter your name and address