Standing Order Donation | The Ryan MS Therapy Centre

I would like to donate the following amount regularly to the Ryan MS Therapy Centre. *

and continuing at the following frequency thereafter until i cancel it *

Commencing on

My bank is

My bank address is

My account number is *

My sort code is *

My name is *

First

Last

My email address is

I understand that the data on this form has been collected for the purposes of setting up a regular standing order donation to the Ryan MS Therapy Centre and will be held and processed in accordance with the charity’s privacy policy. I understand that the Ryan MS Therapy Centre will forward the data to the bank whose details I have provided for them to set up the donation. I understand that if I wish to amend or cancel the resulting standing order donation I can do so by directly contacting my bank. *

I agree

Name