Campaign Against Domestic Violence

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About the Campaign Against Domestic Violence

Print out and return this form to CADV, PO Box 2371, London E1 5NQ

Standing Order

To (Name of your bank)  ____________________________________________

Address (of your bank) ____________________________________________

____________________________________________

____________________________________________

Please pay a monthly standing order

Starting on (date)____/____ /____

for £ _______

amount in words ____________pounds and ______________pence

from my / our account (name)____________________________

Account number ____________________Bank code _________

To CADV account number (we fill this in) ______________________

Sort code (we fill this in) _______________

Signed (your signature) _________________________

Date ____________

Your name __________________________________________

Your address________________________________________

__________________________________________________

__________________________________________________

Print out and return this form to CADV, PO Box 2371, London E1 5NQ

CADV, PO Box 2371, London, E1 5NQ, United Kingdom   email: enquiries@cadv.org.uk Tel: 020 8520 5881