
Friends of Morazán Standing Order Form
(Please print in block capitals)
Name:……………………………………………………………………………………
Address: ……………………………………………………………………………….
…………………………………………………………. Post Code………………….
To the manager of ……………………………….Bank/Building Society
Address: ……………………………………………………………………………………………..
…………………………………………………………… Post Code………………………………
Please pay the Friends of Morazán (registered charity no. 1111253)
at the Co-operative Bank, 14 Broadmead, Bristol, BS1 3HH
to the credit of Account No. 50078095 Sort code 08-90-02
£…………………….. each month/quarter/year and debit my account:
Account number………………………………….. Sort code……………………………….
Starting on (date)……………………………………………
Signed…………………………………………………………. Date…………………………….
Thank you for your support
Please return this form to:
Friends of Morazán, c/o 111 Sommerville Road, Bristol BS6 5BX
or send as an attachment to tomhore@ymail.com

