Sponsorship form

Please print out this page, complete the form and post it to the Albanian Orphans Mission.

Bankers Order Form

Please complete this form in BLOCK CAPITALS and black Ink
* Please delete as appropriate
To the Manager of……………………………………………...........….Bank

Address……………………………………………………………………………………….. ………………………………………………………………………………………………… …………………………………………………………………………………………………

Post Code………………..

Bank Sorting Code…………………...
 

(Mr. / Mrs. / Miss. /Ms.)*

Name………………………………………………………………………………………….. Address……………………………………………………………………………………….. ………………………………………………………………………………………………… …………………………………………………………………………………………………

PostCode ……………………………………………...
Account Number…………………….

Request you to pay: Lloyds Bank PLC (30-96-50) Parkstone Branch

153 Commercial Road, Parkstone, Poole, Dorset BHI4 0JJ.
For the credit of The ALBANIAN ORPHANS MISSION (Account number 0560646)
The sum of: (Amount in words)……………………………………………………………………………
(Amount in figures)…………………………………………………………………………… Annually*/ monthly* until further notice.
Starting on the…………….day of…………… 20…...
Signature………………………………………………. date……\…….\20

Please return this forn to:

The Albanian Orphans Mission 29 Fortescue Road, Parkstone, Poole, Dorset. EH 12 ZLH