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Last Updated: 19 September 2008 Site designed by www.cddweb.co.uk |
Standing
Order Mandate - Mandad Archeb Sefydlog
Friends of Tŷ
Encil Carreg Retreat House
please
print out and complete this form, and return it to
Liz Suter,
3 Cae Nicholas, Menai Bridge, Gwynedd. LL59 5LE
If you have any problems, contact us for a hard copy
To / I Fanc: ______________________________________Bank
Postal
Address / Cyfeiriad: ___________________________________________________________
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Please
pay
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Bank - Banc |
Branch Title - Teitl y Gangen |
Sorting
Code
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HSBC |
Pwllheli |
40-37-30 |
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for
the credit of
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Beneficiary - Buddiolwr |
Account Number - Rhif y Cyfrif |
Reference - Cyfeirnod |
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Tŷ Encil Carreg Retreat House |
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the
sum of
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Amount
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Amount
in words
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£_________________ |
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commencing
from / o |
Date
of First Payment
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and
thereafter every
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Due
Date and frequency
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Account to be debited - Y Cyfrif i’w ddebydu |
Account Number - Rhif y Cyfrif |
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Special instructions – Gorchmynion arbennig |
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Signature(s) – Llofnod(ion) |
Date – Dyddiad |
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Please
make sure you leave at least 2 weeks before the date of first payment to
enable us to get your mandate to the Bank in time.