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

Telephone Number
Please pay Jamea Al Kauthar £ 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) Date
Bank name & address
Bank Post Code
After you have completed this standing order form, please fill in the Gift Aid Declaration. At no extra cost to you, we will receive 28% extra on this standing order

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