IBN 2

Please print this page and send the completed form to the address below. Thank you.

 

Standing Order: use this form to set up a standing order

 

To (your bank) :.........................................................................................

 

At (address of branch):  ..............................................................................  Post code: ...........

 

..................................................................................................................

 

Please pay:

The co-operative bank                     Sort code: 08-92-99

 

For the credit of:

I B Networks Trust               A/c no:   65375615             Quoting ref:  I B Networks

 

The sum of: 

 

£ (in figures) ...................... £ (in words).....................................................

 

Commencing (date)......................................  and thereafter  monthly/ quarterly/annually

 

until further notice or until (date of last payment) .................... and debit my

 

account accordingly.  Sort code:   _  _- _  _- _  _       A/c No:  _  _  _  _  _  _  _  _

 

Name of account to be debited: (your account) ...........................................

 

Name: .............................................                             Signature: .......................................

 

Address: .........................................                              Signature: .......................................

                                                                                                                  (For joint a/cs where both signatures are requested)

........................................................................................................

 

........................................................    Post code: ...........................

 

Date: .................                                      

 

 

Now send this form to:

 

Irish Baptist Networks,

1 Barronstown Court,

Dromore,

Co.Down, N. Ireland

BT25 1FB.                                                   

 

Irish Baptist Networks is managed by the directors of I B Networks Trust Ltd, a charitable company registered with HMRC.

The registered office is:

1 Barronstown Court, Dromore Co. Down. BT251FB.

  Thank you very much for your support.