Al-Khair Primary & Secondary School

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Standing Order Form

AL-KHAIR Educational & Cultural Centre
Director: Imam Qasim Ahmad

Please use CAPITAL LETTERS

Please fill in your Name and Address here:

Name: *

Post Code:*

Address *

Please pay Al-Khair

A/C#: 41424394, Bank: HSBC, Branch:Croydon, Sort Code: 40-44-15

	£100	£50	£30(Equivalent to £1/Day)	£15	£10
each month or my preferred amount of			£ (monthly)until further notice, and debit my A/C
starting on (date) and thereafter on (date)

Please Enter your account information here

Account Number: *

Sort Code:*

Name(s) of Account holder(s) *

I am a UK taxpayer. Please reclaim the tax on all my donations until I notify you otherwise

Date:*

Your Bank Information

Bank Name *

Post Code:*

Bank Address *

Contact Number / Email Address

Telephone# *

Email Address:*

Signature: _________________________________________ Date: _____________________

Al-Khair Educational and Cultural Centre
109-117 Cherry Orchard Road, Croydon CR0 6BE
Telephone:020-8662 8664.

Thank you for your Support

STANDING ORDER FORM

Please Print this completed Form, sign and date and Post it to

Al-Khair Educational and Cultural Centre
109-117 Cherry Orchard Road, Croydon CR0 6BE