Standing Order Form

To the Manager

My account details are as follows:

Please pay the sum of £ ……………………………… to the Mali Development Group

each month, on the ………………………………..…………………… of each month

commencing on ………………………………..……………………… and until further notice

Recipient Bank details are as follows:
Account Name: Mali Development Group
Bank branch: Lloyds/TSB, The Square, Botley, Oxford
Sort Code: 30-19-83
Account Number: 0215663

Signed: ………………………………………….

Please can you also sign a Gift Aid declaration and sent it to
John Hedge, The Secretary, MDG, 174 Abingdon Road, Didcot, Oxon, OX11 9BP
as this enables us to claim the tax back on your payment and so increase your gift to the charity.