To make a donation by regular Standing Order please print this form off.

Click here for a printer friendly version


When printed out, please fill in the following details (which you'll get from your chequbook)
and send to the address below.


Bankers Order Form

Your Bank or Building Society

Your Bank's Name_________________________

Your Bank's Address ________________________

_______________________________

Your Bank's Postcode________________________

Name of account Holder ___________________________ (ie the name on your chequebook)

Account Number _ _ __ ____ _ __ _ (ie your account)

Bank Sort Code _ _ __ _ __ _
(The 6 digits from top right of your cheque book)

Your Instructions to your Bank or Building Society

Please pay to the order of Relief Fund for Romania (Account number 00424195, Sort Code 12 11 03, Bank of Scotland 12/14 Cockspur St, London W1)

The sum of £_____ now and monthly instalments of £____ thereafter until ___ or when countermanded by me in writing quoting the above reference number when processing payment.

Signed ________________

Print Name ___________________

Your phone number ________________


Thank you. Now please send this form to

Relief Fund for Romania
18 Fitzhardinge Street
London
W1H 6EQ

Please don't forget that all our admin costs are sponsored separately. EVERYTHING you donate will go to Romania

 

The Relief Fund for Romania Ltd. Registered charity number 1046737
A company limited by guarantee, registered in England, Company number 294012
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