Standing Order Authority Form The Bethany Project (Tanzania) UK, Reg. Charity 517995, Reg Address: 2 Aspen Fold, Oswaldtwistle, Lancashire. BB5 4PH, Tel: 01254 879694. For the work of the Bethany Project, Yitwimila, Magu District, Mwanza Region, Tanznania. East.AFrica.
On completion please post to your bank:
To: ______________________________________________________ (name of your bank)
Please pay to (NET) ‘The Bethany Project’
The sum of £ _____
(Amount in words) ________________________________________________________
on the 15th day of __________________________________ (month) ___________(year)
and then monthly until cancelled by me
Title (Mr. Mrs. Doctor, Reverend, etc.) _____ First name: _______________________
Surname ____________________________________
Full postal Address: __________________________________________________________________________
___________________________________________________________________________
County: ________________ Post code _____________ Country: _____________________
Your account name: ____________________________________________________
Your account Number: __________________________________________________
Your Signatures: ________________________ _________________________
Bank Use: Please pay: The Bethany Project’ Account Number 01330624, Sort Code: 40-12-04 When making the monthly payment please identify the payment using the payees surname and initial (not their account number) HSBC, 60 Church Street, Blackburn, Lancashire, BB1 5AS, UK International bank account number: GB63MIDL40120401330624 Branch Identifier code: MIDLGB2102P
On completion please post to your bank
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