To:...................................................................................................................Bank/Building Society
(Name of your Bank/Building Society)

Branch:...........................................................................................................
(Your Bank/Building Society Branch)

Address of your Bank/Building Society:

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

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

Please pay:

Sort Code: 30 - 99 - 64

Beneficiary's Account no: 01218531

Beneficiary's Name: W.A.B.I.L.

Regular Payment of: £ .................................

At the Frequency of: Weekly / Monthly / Quarterly (please delete as appropriate)

Date of First Payment: ........./........../.........

Date of Last Payment: ........./........../......... (or until further notice)

Please indicate the 'Help The Poor Project' you would like to support. Alternatively leave blank and we will use the money towards the most needy project:

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

Title of Account to be debited:..............................................................................................

Name of Account Holder(s):.................................................................................................

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

Account no. to be debited:...................................................................................................

Sort Code: ........... - ............. - ..............

Delete one of the following:

i. This is a new instruction

ii. Please cancel any previous Standing Order in favour of W.A.B.I.L. (Reg. Charity no: 291922)