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STANDING ORDER MANDATE for SBASSG Please fill in this form and send it to your bank. To (your bank:) .............................. .............................. Branch address: .............................. .............................. .............................. .............................. .............................. .............................. Postcode: .............................. Please pay The Co-operative Bank, sort code 08-92-99, for the credit of Swansea Bay Asylum Seekers Support Group, account number 65063888 00, the sum of (amount in figures:) £ .............................. (amount in words:) ................................................................................... pounds, commencing (date:) .............................. and thereafter every *month / *other interval specified: .............................., until *further notice from us in writing / *this date: .............................., quoting the reference "SBASSG", and debit our account accordingly. Account to be debited Name(s): .............................. .............................. .............................. .............................. Sort code: ... ... ... ... ... ... Account number: ... ... ... ... ... ... ... ... Signature(s): .............................. .............................. .............................. .............................. Date: ....................... *delete as necessary Please also tell SBASSG’s treasurer if you take out a standing order: Tom Cheesman t.cheesman@swan.ac.uk / 01792 205678 x 4030 Thank you!
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