HOLY ROOD HOUSE
Centre for Health and Pastoral Care

Charity Commission No. 1099836

Standing Order



To _____________________________________Bank/Building Society

Address ________________________________________________________

________________________________________________________________

Please pay to the HSBC plc, High Street, Leyburn, DL8 5AL, for the account of the Centre for Health and Pastoral Care, deposit account No. 41227580, 
Sort Code 40 28 16.

the sum of:-

£____________(words______________________________________________

Commencing on the __________________ of __________________

200…. and thereafter every ________________________________

until ___________________________ of ____________________________200__ 

or until further notice. [please delete as appropriate]

Quoting reference _______________________________________________
[your full name in capitals]

Signed ________________________________

Title of account to be debited 

_______________________________________________________________
 

No. of account to be debited   _______________________________________

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