PushBikes Birmingham
Standing Order Mandate
| Your bank's details | |
|---|---|
| Bank name: | |
| Address: | |
| Please pay the Co-operative Bank, Birmingham Branch, for the credit of Push Bikes: Sort Code 08-90-01, Account Number 50011748 | |
| Amount in figures £ | |
| Amount in words | |
| Commencing date | (dd/mm/yy) |
| and yearly thereafter on: | (dd/mm) |
| and debit my account accordingly until you receive further notice from me in writing quoting: | |
| Reference | * |
|
|
|
|---|---|
| Account to be debited | |
| Name of account | |
| Account number | |
| Signature | |
| Name | |
| Date | |
*reference: to help us identify the source of incoming standing order payments, we suggest that you enter your full name as the reference.
Push Bikes
54-57 Allison street, BIRMINGHAM B5 5TH
- Email: contact@pushbikes.org.uk
- Telephone: 0121 632 6753
