Standing Order Form

Please print this page, complete the form and pass to your bank branch.

Your bank name:...........................................................Branch name:.................................................................

e.g. Barclays                                                                  e.g. Caerphilly

Sort code:.............-............-...............    Account no:............................................................................................

Account name:.......................................................................................................................................................

Please pay £....................per month/per year (delete one) to;

Caerphilly Woodlands Trust Limited at Barclays Bank plc

Sort code 20-10-26, account no. 00521116

and continue to do so until further notice.

Starting date:.......................................................

Signed:................................................................

Name:.......................................................................

Address:...............................................................................................................................................................

...............................................................................................................................................................................

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