The Parish Church of Stoke St. Mary
Somerset, England.

STANDING ORDER FORM
for GIVING to Stoke St. Mary Church General Funds.
Please complete the form and send to your Bank.

Name of your Bank
................................ Sort Code
...................

Bank Address
.........................................................................................................................

Account Name
.........................

Account Number
.............................

Standing Order to:
St. Mary's Church, Stoke St. Mary

Bank
Lloyds TSB, 31, Fore Street, Taunton, TA1 1JW

Sort Code
30-98-45

Account Number
0515215

Reference
Name:

Amount
Ł

Date of First Payment
Date:

Frequency
Monthly / Quarterly / Half Yearly / Annually
(delete as applicable)

Expiry Date
Until further notice / expiry date ........................
(delete as applicable)

Signed:
Account Holder ...........................................
Signed:
Other A/C Holders ...........................................

Date:

Standing Order to:	St. Mary's Church, Stoke St. Mary
Bank	Lloyds TSB, 31, Fore Street, Taunton, TA1 1JW
Sort Code	30-98-45
Account Number	0515215
Reference	Name:
Amount	Ł
Date of First Payment	Date:
Frequency	Monthly / Quarterly / Half Yearly / Annually (delete as applicable)
Expiry Date	Until further notice / expiry date ........................ (delete as applicable)