Payment by Banker’s Order helps to keep administrative costs to a minimum.
To (Name and address of your bank)
Name: ...................................................................................................
Branch: ..................................................................................................................
Address: .................................................................................................................
Address: .................................................................................................................
Post Code: .....................................
Bank sort code: .....................................
Your account number: .....................................
Please pay NAT WEST BANK plc., Tideswell Branch, Bank Square, Tideswell, Buxton, Derbyshire SK17 8NT (sort code 60 01 33) for the credit of "The Nightingale Centre" (Account Number 47388684) the sum of £............... commencing on the ........... day of .................... 200... And thereafter on the same date every year until you receive further notice from me/us in writing.
Signed: ..................................................................................................................
Dated: ................................................
Name: ....................................................................................................................
Address:..................................................................................................................
Address: .................................................................................................................
Post Code: ............................. Tel: ....................................................
Please send the completed Banker's Order Form to:
Friends of Hucklow
The Nightingale Centre
Great Hucklow
BUXTON SK17 8RH
Derbyshire
United Kingdom
Registered Charity No. 242256