|
STANDING ORDER FORM
To the Manager of (Bank) ………………………………………………………………………
Branch Address ………………………………………………………………………...............
……………………………………………………………………….
I (name in block capitals) ……………………………………………………………………….
Address ……………………………………………………………………….
. . . .. . . . ……………………………………………………………………….
A/C number (12 figures) - -
hereby authorise you to pay the beneficiaries of the following account:
The Community of St. Anthony asbl
23-25 Ave. des Anciens Combattants
1950 Kraainem
A/C no. 310 0722589 25
the sum of ………………………… on the …………………… day of the month
and to pay that sum every month on the ……………………… day of the month
until further notice.
Message: * Building Fund / Monthly Donation / ……………………………………..
Signed …………………………………………………. Date …………………………
* Delete as necessary or add your own message
Please take this form to your own Bank - but if you have filled in the address of your branch you may leave the form in the Parish office.
|
