Child Sponsorship Form (Page 2 of 2)

Standing Order Instruction to your Bank/Building Society

Name/s and Address of the Account Holder/s:


Title:...............................Forename/s:......................................................................

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

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

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

Postcode:.................................................

Name and full address of your Bank/Building Society:

To: The Manager..................................................................Bank/Building Society*

Bank Address:...........................................................................

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

...................................................................................................Postcode...............................................

Sort Code:........................................

Account Number:.............................................

Please pay monthly from the account number above, the sum of £...........................

to 'The Talbot Centre for 'Street Children in Nepal' Account Number 85025372
at NatWest Bank, Winton, Bournemouth Branch, Sort Code: 51 81 20
until further notice starting from:.......................................(date of first payment)


Signature/s


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