YOUR INSTRUCTIONS TO THE BANK:

TO (Name of Your Bank): ..............................
AT (Your Bank Address): ...............................
.................................................................
.................................Post Code:.................
YOUR BANK SORT CODE:       _ _ - _ _ - _ _
YOUR BANK ACCOUNT NO.:   _ _ _ _ _ _ _ _ _ _
 

PAYABLE TO:    Barclays Bank PLC (20-32-00)
                     The Moorgate Group of Barclays
                     128 Moorgate, LONDON EC2M 6SX
CREDITED TO: Sanaton Association (A/C No. 80502618)
 

AMOUNT OF USUAL PAYMENT  £____________ WEEKLY*/MONTHLY*/ANNUALLY*  (*delete as appropriate)

AMOUNT IN WORDS: .....................................................................................................................

DATE FOR FIRST DONATION (dd/mm/yyyy): ......................................................................................
                                                                 (Please choose a start date at least one month from now.)