For this campaign to be successful, we need your financial support

Please complete (print) the bankers order form for as much or as little as you can afford and post it to the address below. Every contribution counts.

Standing Order

To the Bank Manager (Name of Bank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Branch Address. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Postcode . . . . . . . . . . . . . . . . .

Sort Code Account No. . . . . . . . . . . . . . . . . . . . .

Please pay CASE (Campaign Against Stevenage Expansion)

£ . . . . . every month/quarter/year (delete as applicable)

Start on (date) until further notice.

Name (Mr/Ms/Mrs/Miss. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Signature . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Postcode. . . . . . . . . . . . . . . . . . . .

FOR BANK USE: Please use our ref: A/C 30190527 Sort Code: 20-41-12

Please cut out the completed Standing Order form and send it to:

The Campaign Against Stevenage Expansion, Dyes Farm, Dyes Lane, Langley, Nr. Hitchin, Herts SG4 7PQ