Bankers Order Form

Please complete this form, print it out, sign it and return to the address below

I wish to make a regular donation of

Each month Each quarter Annually Until further notice
For years Starting on

Please pay to: (please tick one box only)

The Donkey Sanctuary Registered Charity no 264818 Barclays Bank plc, Sidmouth, Devon Sort Code 20-30-47, Account number 30102458

The Elisabeth Svendsen Trust for Children and Donkeys Registered Charity no 801070 Barclays Bank plc, Sidmouth, Devon Sort Code 20-30-47, Account number 40853496

Title:	Mr Mrs Miss Ms Dr Rev
Name:
Address:
Postcode:		Telephone No.
Account Number:
Sort Code:
Name and address of your bank:
Postcode:

Signature

_________________________________

Date

________________

Please return this completed form to The Donkey Sanctuary, Sidmouth, Devon EX10 0NU not to your bank. Thank you for your kindness.

Office Use Only: Please quote this reference when processing payment: