The Friends of St Michael’s, Beaulieu sur Mer

Please print & send the completed form to:

The Treasurer c/o Presbytère Anglican, Le St Michel,

9 Rue Paul Doumer, 06310 Beaulieu sur Mer, France

Banker’s Order Form

To Bank Name:

 

Bank Address:

Please pay Barclays Bank plc (sort code 20-06-05) for the account of ‘The Diocese in Europe Fund’ account number 40317039, the sum of

£                                  Words:                                                           

Date when payments are to start:

and thereafter on (date & frequency):

until (date of last payment):

and debit my account. 

 

Name of account to de debited (please print):

 

Account Number:

Signature:                                                        Date: