Haworth Cat Rescue

Standing order form for regular donations

To donate a sum to HCR automatically each month just print and complete the form below and return it to the address below.

Instruction to your Bank / Building Society to pay a standing order

To the manager ........................................ Bank / Building Society

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

.................................................................... Post code .........................

Name of account holder ....................................................................

Account Number: _ _ _ _ _ _ _ _

Sort Code: _ _ / _ _ / _ _

Please pay the following amount £................ on the ........ day of each month,
commencing ...... / ...... / 2003 until further notice, to the following account:

Account Name: Haworth Animal Welfare registered Charity no 1058218
Account Number: 17369979
Sort Code: 05-05-35
Address: Yorkshire Bank PLC, 73 North Street, Keighley BD21 3SD

Reference: ................................... (please enter your surname here)


Signed .........................................

Date ............................................

Please send the completed form to your own bank

Thank you for your help.