15.01.2015 Views

LDN gave me my life back - User Control Panel

LDN gave me my life back - User Control Panel

LDN gave me my life back - User Control Panel

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

PO Box 1083, Buxton Norwich NR10 5WY<br />

Telephone: 0844 41 45 295<br />

Email: contact@ldnresearchtrust.org<br />

Web: www.ldnresearhctrust.org<br />

www.ldnaware.org<br />

Contact: Linda Elesgood<br />

Setting Up a Standing Order<br />

To: The Manager:<br />

[your bank na<strong>me</strong>]<br />

Please pay:<br />

Barclays Bank PLC, Market Place, Aylsham Norfolk NR11 6EW<br />

For the credit of: <strong>LDN</strong> Research Trust , Sort Code 20-06-26 - Account No: 60515213<br />

The sum of ………..………. (figures) ……………………………………………………………<br />

(words). (Insert the amount of each monthly pay<strong>me</strong>nt in both figures and words)<br />

Com<strong>me</strong>ncing on (date.........................) and continuing (monthly) until further notice.<br />

[ Please enter your Bank Details Below ]<br />

Bank Na<strong>me</strong>:<br />

Bank Address<br />

Bank Post Code:<br />

Na<strong>me</strong> of account to be debited:<br />

Account Number:<br />

Your Sort Code:<br />

House number/ na<strong>me</strong><br />

(essential for claiming gift aid)<br />

Full address:<br />

Post Code:<br />

(essential for claiming gift aid)<br />

Your signature (s)<br />

Registered Charity No 1106636<br />

Trustees: Mrs Linda Elsegood, Mr Alex Parker, Mr Neil Lucas, Dr Dawn Shepherd, Mr Lee Reynolds<br />

Medical Advisors: Dr Bob Lawrence MRCS, LRCP. Dr Tom Gilhooly MBChB, MRCGP, Stephen Dickson BSC (hons) MRPharmS

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!