Churches Together in Broomhill and Broomhall, CTBB Christmas Appeal for Worker with Older People Standing Order Mandate To: Bank name: Bank address:

The Manager

Please pay:

Unity Trust Bank plc Nine Brindley Place, Birmingham B1 2HB

For the credit of:

Churches Together in Broomhill and Broomhall Account Number: 20264826 Sort Code: 60-83-01

Monthly Donation to Worker with Older People

£5 £10

Please tick appropriate box.

£50

£20 Other amount _____________

Commencing on ____/____/____ monthly until further notice. Your Name: Address:

Account number: Sort code: Signature:

____________________________________

Date:

______________________

Please Post to: Chris Sissons, The Beacon, Fulwood Rd, Broomhill, S10 3BD