BLAIKIEWELL ANIMAL SANCTUARY

DONATION

Please Print this page (right click on page and select 'print'), complete the details, SIGN IT WHERE REQUESTED and send to:-
THE BLAIKIEWELL ANIMAL SANCTUARY,
EASTLAND LODGE,
MARYCULTER,
ABERDEEN.
AB12 5FS
U.K.
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NAME :                        _______________________________________

E-MAIL ADDRESS:   _______________________________________

ADDRESS:                 ________________________________________

                                   ________________________________________



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REQUEST FOR STANDING ORDER

  YOUR BANK DETAILS:     NAME OF ACCOUNT: ______________________________________

                      Account number   _______________________Sort  Code_________________________
         (Checking Account Munber)                                   (Bank Routing Number)

      NAME AND FULL POSTAL ADDRESS OF YOUR BANK:         __________________________________________

                _______________________________________________________________________________________
                
                ________________________________________________Post Code/ZIP ____________

PLEASE PAY BY STANDING ORDER THE SUM OF: - _________

                         MONTHLY/YEARLY UNTIL FURTHER NOTICE

                         COMMENCING ON THE   _______DAY  of _________MONTH ________YEAR

TO : -            THE BLAIKIWELL ANIMAL SANCTUARY
                                    Account number : 00248286      Sort Code:  83-49-40

AT:-   THE ROYAL BANK OF SOTLAND,   ABERDEEN CENTRAL BRANCH,
                                  12 GOLDEN SQUARE, ABERDEEN.  AB9 8DU . SCOTLAND  UK


SIGNED ____________________________________DATE__________________
 






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