Please complete the form below, print it out and mail to us at

Jamea Al Kauthar
(Darul Uloom for girls)
Ashton Road
Lancaster
LA1 5AJ

Name
Address
Post Code
Pay Al Badr Islamic Trust (Select One) £4 (four pounds)
  £8 (eight pounds)
  £16 (sixteen pounds)
  Other (please specify)
on (date) of each month until further notice, commencing from (month) 20
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