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Newbury and District Cancer Care Trust
I would like to make a regular gift Name............................................................................ Address......................................................................... ..................................................................................... ....................................Postcode................................... Signature...................................Date.............................. For a Standing Order please complete the following:
Please pay Lloys Bank Plc. 3-5 Bridge Street, Newbury,
Sort Code: 30-95-89 Account No: 0804563 (Newbury
£................monthly/annually (please indicate) Please debit my account:
Sort Code ........................................................
Please print out and post the completed form to the address below
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