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)
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
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.