Banker’s order please fill in this form and return it to ecologycentre at ua, who will send it on to your bank icon

Banker’s order please fill in this form and return it to ecologycentre at ua, who will send it on to your bank




НазваBanker’s order please fill in this form and return it to ecologycentre at ua, who will send it on to your bank
Дата конвертації23.01.2013
Розмір6.93 Kb.
ТипДокументи


3 Street

Pokrovskiy

Odessa, 65 016

Ukraine

tel: +3 (099) 471 88 39

fax: +00 (0482) 331 442

email: talants@ukr.net

www.ecologycentre.at.ua




BANKER’S ORDER


Please fill in this form and return it to ecologycentre.at.ua, who will send it on to your bank.


Your bank’s name………………………………………………………………………………………


Address:.......................................................................................................................


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


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


Sort Code:....................................................................................................................


Account name:...............................................................................................................


Account number:............................................................................................................


Please pay to CAF Bank Ltd,________________________________________________________


for the credit of account number_________________________ in the name of ecologycentre.at.ua


Trust the sum of y.e...............................................................(amount in figures)


(..........................................................................................y.e.)


on the ........../............/......... and weekly/monthly/quarterly/annually thereafter.

Day Month Year


Signed:..........................................................Date:............................




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