The Buddhavihara Temple Trust : Standing Order Mandate
just complete the details by typing in the white boxes, click the 'print ' button: sign & date the form and mail it to:

The Buddhavihara Temple, Eastfield House, Alrewas Road, Kings Bromley, Staffordshire DE13 7HR
Please DO NOT send this form directly to your bank

Your Details
  
Your Bank Details
Title
 
To:
 Bank/Building Society
Forename(s)
  
Address
Surname
    
Address
    
 
Postcode
 
Sort Code
Postcode
  
Account name
     
Account number
Please pay the sum of every month / quarter / year
commencing on (please insert start date), until this order is cancelled in writing, to:

Barclays Bank, Birmingham Perry Bar Branch. Sort Code:20-07-84
for the credit of: The Thai British Buddhist (Buddhavihara Temple) Trust, Account Number:40409235
Signature:
 

Date:
 
 
Gift Aid. Please tick one of the following:
Please find enclosed my Gift Aid certificate  
You already hold my Gift Aid Certificate  
I am not a UK taxpayer  

Thank you for your support of The Buddhavihara Temple