Nower Hill High School
Bankers Order Form (You will need to print this form out and fill it in)
‘GIFT FUND’BANKER’S ORDER
Sort Code:- To________________________________Bank Bank Address:_____________________________________ _________________________________________________
On:- ___________________ {date of first payment}
Please pay the sum of £ ____________ pounds
To National Westminster Bank plc, 381 Uxbridge Road, Hatch End, Middlesex HA5 4JP, a/c No.41433505 and thereafter pay the sum monthly/annually, on the same day for the following months/years or until further notice, making payments in all, and debit my/our account accordingly. {Delete as appropriate} Signature____________________________ Date________________________________ Account Number:-
Name________________________________________________ Address____________________________________ _____________________________________________________ {in BLOCK CAPITALS PLEASE}
NOWER HILL HIGH SCHOOL Thank you |