Andalusia Academy | The Centre of Excellence for Your Children

Standing Order Form

Bristol Islamic Schools Trust

Standing Order Mandate

Please complete sections A and C below.

SECTION A : DONOR'S DETAILS

Name of Form *Full Name *Address & Postcode *Telephone *Email Address

SECTION B : DETAILS OF ACCOUNT RECEIVING CREDIT

Name of Account Holder : Bristol Islamic Schools Trust (BIST)

Bank and Branch Name : Natwest Bank plc, Eastville Branch, Bristol

Account Number : 4246 1634

Sort Code : 60-07-27

SECTION C : INSTRUCTIONS TO BANK/BUILDING SOCIETY

*Bank/Building Society Name & Address *Name of Account Holder(s) *Account Number *Branch Sort Code *Amount of Standing Order per month (£) *Effective date (dd/mm/yy) to debit your account accordingly, until further notice . I am a UK taxpayer and I would like BIST to this/these and all donations that I have made since 6/04/00 as Gift Aid Donations until further notice.
Yes
No
*Signature & Date (dd/mm/yy)