Please mail your completed form to:
New Wine International, Gateway House, John Wilson Street, London SE18 6QQ

Standing Order Form

To the Manager

Name of your bank or building society:

 

Address of your bank or building society:

 

Postcode:

 

Please Pay:
BARCLAYS BANK PLC, 41 WOOLWICH NEW ROAD, LONDON SE18 6NU.

SORT CODE: 20-98-57

For the Credit of:
NEW WINE CHURCH. ACCOUNT NO. 10546720

The Sum of: (amount in figures and in words)

 

As from: (date - day / month / year)

 

and a like sum every month until FURTHER NOTICE OR
(date - day / month / year) date of last payment

 

Name of Account Holder:

 

Account No:

 

Sort Code:

 

Signature:

 

Commitment Form

Personal Details:

Name:

 

Address:

 

Postcode:

 


Tel (day):

 

Tel (eve):

 

Please send me information on how to become a prayer partner

Monthly Contribution: I would like to make a commitment to:

A monthly contribution of: (please tick)

£50 £75 £100 Other (please Specify)
       

A one-time gift of:
(please Specify)

 

Method of Payment:

Standing Order
(see form on left)		  
Cheque  
Credit Card  

State amount paid by credit card:

 

Account No:

 

Expiry Date:

 

Signature: