STANDING ORDER

Please print out this form  and send it to YOUR Bank. Please also tell US what you have
done so that we know how to contact you when the campaign is over. Thank you.
 
To the Manager:

______________________________________________Bank (Your Bank)

Address: ______________________________________

______________________________________________

______________________________________________

From: (Your name and address)

______________________________________________

______________________________________________

______________________________________________

Account. _ _ _ _ _ _ _ _Sort Code _ _ / _ _ / _ _

Dear Sir,
Please make the following payment monthly from my/our account until I / we cancel it. 
Recipient's Name
 

Account No.
Sort Code
Bank

 Highlands & Islands GM Concern Ltd
Unit 7, 24 Station Square, Inverness IV1 1LD

00 927 467
80-06-83
Bank of Scotland
23 High Street
Fortrose
IV10 8SX
Date of first payment __________

Date of final payment__________(or write U.F.N. for "until further notice")

Amount £ ___________
 

Yours faithfully,
Signature(s) ___________________________________________Date _______