Standing Order Mandate

Please print this form, complete it by hand, and send it to us at:

Sankofa Foundation
23 Mabel Grove
West Bridgford
Nottingham
NG2 5GT

You can cancel this standing order at any time by contacting your bank.

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To (your bank): …………………………………………………………

Address (of your bank): …………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………

Please pay to:

Lloyds TSB
2 Davies Road
West Bridgford
Nottingham
NG2 5JD

Account Name: Sankofa Foundation
Account number: 01341287
Sort code: 30-18-98

The sum of £………

Amount in words: ………………………………………………………………

Date of first payment: ……………………

and thereafter every month until cancelled by me.


Account to be debited: ……………………………………………………….

Account number: ……………………………………………………….

Sort Code: …… - …… - ……

Reference: Donation (web)


Signature: …………………………………………………… Date: ………………