Standing Order Mandate

To The Manager:
(enter your bank's name and address)

____________________________ Bank

____________________________

____________________________

Please pay the sum of £______ (in words:_______________________________________ )
from my account (enter your account details):

Sort code ______ ______ ______ Account No: ___________________________________

on the _________ day of each month, with effect from: ___________________________

until further notice/with a final payment on*____________ (*please delete as appropriate).

(This cancels and supersedes any previous instructions.)

To:

Footsteps International

Account No: 50420026
Sort Code 20-14-33

Barclays Bank
Biggin Hill Branch
The Bromley Group
PO Box 1
Bromley BR1 1NL

Signed ______________________________________

Full Name ____________________________________

Date ________________________________________

(Please send the form to Footsteps International who will send it to your bank.
Address: Footsteps International, 79, Lynwood Grove, Orpington, BR6 0BQ, UK)