Standing Order Authority Form
 The Bethany Project (Tanzania) UK, Reg. Charity 517995, 
Registered Address: 2 Aspen Fold  Oswaldtwistle, Lancashire. BB5 4PH, Tel: 01254 879694.
For the work of the Bethany Project, Yitwimila, Magu District, Mwanza Region, Tanznania. E.A.

On completion please post to your bank:

To: ______________________________________________________ (name of your bank)

Please pay to (NET) ‘The Bethany Project’

The sum of £ _____

(Amount in words) ________________________________________________________


on the 15th day of __________________________________ (month) ___________(year)

and then monthly until cancelled by me

Title (Mr. Mrs. Doctor, Reverend, etc.) _____   First name: _______________________


Surname ____________________________________


Full postal Address: __________________________________________________________________________


___________________________________________________________________________


County: ________________ Post code _____________  Country: _____________________


Your account name: ____________________________________________________


Your account Number: __________________________________________________


Your Signatures: ________________________       _________________________

Bank Use: Please pay:  ‘The Bethany Project’
Account Number 01330624, Sort Code: 40-12-04
When making the monthly payment please identify the payment
using the payees surname and initial (not their account number)
HSBC, 60 Church Street, Blackburn, Lancashire, BB1 5AS, UK
 International bank account number: GB63MIDL40120401330624
Branch Identifier code: MIDLGB2102P

On completion please post to your bank