STANDING ORDER FORM CHILDFLIGHT 100+ CLUB


To......................................................................................Bank
Bank Address............................................................ ...............................
..................................................................................................................
Please pay to
  • National Westminster Bank, Heald Green 01-03-90
  • for the credit of ChildFlight 100+ Account Number 05979366
  • FIVE POUNDS (in words) £5.00 (in figures)

Commencing 1st .................................. 20.....
and continue to pay the ammount monthly until further order from me/us, and debit my/our account
Account Number............................................................

Signature(s)............................................................................

Your Name.............................................................................

Your Address............................................................................................

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

Date..........................................

**IMPORTANT NOTE **
DO NOT RETURN THIS FORM TO YOUR BANK RETURN TO

c/o 15 Arbury Avenue
Cheadle Heath
Stockport
SK3 0QA

Registered small lottery