standing order form

Open Door Standing Order Form
Donations towards the work of Open Door are vital for its continued ability to open and serve some of the
most vulnerable in Colchester. This form is for making regular payments to Open Door Colchester, which are
especially valuable to us. Please complete the following form to tell your Bank or Building Society to make
regular payments to Open Door. Please print all the details.
Please enter details of your Bank or Building Society:
To the Manager: _________________________________________________ Bank/Building Society
Address: ________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________ Post Code: _____________________________
Your Account No: _____________________________ Sort Code: ____ - ____ - ____
Please pay from the account given above to Open Door – Colchester 01101675 at CAF Bank Ltd, 25 Kings Hill
Avenue, West Malling, Kent, ME19 4KQ [Sort Code 40-52-40, Account Number 00012453] the sum of £ _____
each week/month/year starting on (day) _____(month) _____ (year) _____ and continuing until further
notice. This order is new/replaces an existing order (delete as necessary).
Now please enter your own details:
Name: ________________________________________________
Address: ________________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
_________________________________________________ Post Code: _____________________________
Signature: ____________________________________________ Date: _____________________________
Please also fill in the Open Door Gift Aid Declaration if you are able to.
Please now post this completed form to Ted Drake (Open Door Treasurer) at Colchester Baptist Church, Eld
Lane, Colchester, Essex, CO1 1LS.
Please DO NOT send it to your Bank Manager.
Open Door Standing Order Form – Created: January 2017
Registered Charity Number: 1101675