FRIENDS OF SANGAM FOUNDATION
Friends of Sangam Foundation is Registered by the Charity Commission, number 1098382
Friends of Sangam Foundation is a company limited by guarantee
registered office 281 Redcatch Road, Bristol, BS3 5DY
registered in England and Wales, number 4627919

TO (Your Bank):

Bank Branch Title:

Bank's Postal Address:

PLEASE PAY HSBC Bank, Bristol City Branch, PO Box 120,

49 Corn Street, Bristol, BS99 7PP, Sort Code 40 14 13, For the credit of

FRIENDS OF SANGAM FOUNDATION, Account number 12065398:

THE SUM OF £           (In words:                                                               )

commencing (date of first payment):                             and thereafter every

(date* see below, and frequency):

until further notice, and debit my/our account accordingly.

Name of account to be debited:

Account number                                      Sort Code:

Signature(s)                                             Date:

Your home Address:

                                                               Post code:

Initial here:        if you want all donations you have made since 4th April 2000
and all donations you make hereafter treated as Gift Aid.

After completing this mandate please send it to
David Fish, Treasurer, FRIENDS OF SANGAM FOUNDATION,
1 Mill Grove, Lutterworth, LE17 4BS

* Date and frequency: It is more convenient if the date is from 1st to 20th of the month.
Examples: "Monthly on 5th", or "Quarterly on 12th of Jan, Apr, July, Oct."