Join us – Standing Order Mandate

To (name and address of your Bank):




Please pay the HSBC Bank PLC, Hailsham Branch, Market Street, Hailsham (code 40-23-01) for the credit of the Hebe Society, Account number 61 06 27 94.

The sum of £ ____________ amount in words ________________________

commencing (date): _____________ and annually on April 1st until further notice in writing

Name of account to be debited:

Account Number:

Signature(s):



Date:

Please print the Mandate form and send to the Treasurer, not the bank.

Registered Charity No 801398