Name and Address: ..
Please indicate clearly who you want to sponsor. I want to sponsor PENSIONER FAMILY
CHILD AT KINDERGARTEN CHILD AT HOMEWORK CLUB VOCATIONAL SCHOOL STUDENT
PLEASE INDICATE WHAT APPLIES
I enclose a Lump sum donation of £ . (£16 X 12 months = £192; £25 x 12 months = £300)
Banks address ..
Please pay the sum of .. in words & figures starting on . .
and thereafter every month* / quarter* on the day until I/we cancel these instructions. * Delete as appropriate
Account number: Bank Sort Code:
Account to be credited: Mustard Seed [Jersey] Sponsorship Account, HSBC, St. Brelade, Jersey.
Account number: 51143638 Bank Sort Code: 40-25-41
Please return this to: Mustard Seed [Jersey], Cardiff House, Coin Varin, St. Peter, Jersey JE3 7EJ