ST PETER'S EALING PCC

Mount Park Road

Ealing W5 2RU

STEWARDSHIP PLEDGE: CONFIDENTIAL

I PROMISE TO MAKE A REGULAR, PLANNED CONTRIBUTION TO THE WORK AND MISSION OF ST

PETER'S CHURCH EALING OF: £........................ every week / month /quarter / year

Full Name: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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

Postcode: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

I would like to pay my contribution by : (please tick one)

• Standing Order from my Bank Account: please complete the Banker's Order below
• Regular Numbered Envelopes: The Stewardship Recorder will arrange these for you.
• By cheque now: Please make payable to "St Peter's PCC"
  

Please return this entire form, completed, to Rosamund Rowe, Stewardship Recorder, St Peter's Parish Office, Mount Park Road, Ealing, W5 2RU and NOT, please, to your bank.

If you are a UK taxpayer and wish to Gift Aid your contribution - please sign here .............................................

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BANKER'S ORDER

To: The Manager, …………………………………………………… Bank PLC

Address: …………………………………………………………
……………………………………………………………………………

Date: ...../.............../20.......

Please pay to HSBC PLC, 69 Pall Mall, London SWIY 5EY (Sort Code: 40-05-27) for the credit of "St Peter's Ealing Parochial Church Council Current Account" No: 11256548

The sum of: £ ..................(...........................................................)
note 1

On: ……………………………
note 2

and thereafter pay the same sum Monthly / Quarterly / Annually
note 3

until further notice, and debit my account with each payment when made.

This instruction is to replace any current standing order in favour of the above named beneficiary's accounts

Address: …………………………… Signature: …………………………………………

…………………………………………………………………………………………………

Name (block capitals)……………………………………

Bank Sort Code:…………………………

Account No: ………………………………

Account Name: ……………………………

Note 1 - Please insert payment in figures first, then in words in the brackets.
Note 2 - Please insert date of first payment -please allow time to transmit this instruction to your bank.
Note 3 - Please delete as appropriate

Please return the entire form (both Pledge & Banker's Order), completed, to
Rosamund Rowe, Stewardship Recorder,
St Peter's Church Parish Office,
Mount Park Road,
Ealing,
LONDON W5 2RU

Please, do NOT return this form to YOUR bank.

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