STANDING ORDERFORM

To…………………………………………………………………….…………...Bank plc

Branch Address……………………………………………………………………………

Post Code: ……………………

Sort code………………….

Account name to be debited …………………………….

Account Number…………………………….

Please make payments and debit my/our account in accordance with the following details, to:-

Barclays Bank(Huntingdon Branch)

1 Market Hill, Huntingdon, PE29 3AE

Sort Code No. 20-43-63

For account of ugive2uganda

Account Number 50030708

Amount in figures£……………………………

Amount in words……………………………………………………………………………………………

Payments to be made………………………monthly/annually* until further notice

Date of first payment…………………………….

* (delete as appropriate)

Name……………………………………….

Address:…………………………………………………………………………………

……………………………………………………………………………………………...

Post Code:..……………………

Email:…………………………………………………(this will be confidential)

Signature(s)…………………………………….Date…………………………..

PLEASE SEND THIS FORM TO YOUR BANK

Thank you.

Philip Monk

Founder – ugive2uganda