Jamea Al Kauthar
c/o (Hazrat Maulana) Fazlehaq Wadee
Ashton Road, Lancaster LA1 5AJ

Please complete the bank standing order form and return to us at the above address

Name
Address
Postcode
Telephone Number
Please pay Jamea Al Kauthar £ each week / month until further notice and debit my account, starting on
payable every seven / thirty days after this date.
Debit my account number: Bank Sort Code: - -
Signature (please print page and sign here)
Bank name & address
Bank Post Code
For Office Use:  
Account Name: Jamea Al Kauthar
Bank TSB Bank PLC, 6/8 Lord St West, Blackburn, Lancashire, BB2 1JZ
  Sort Code: 77-76-25 Account Number : 56 47 51 68