Standing Order Notification Form | Sharavana Baba

Temple Member - Standing Order Notification form

Please complete the following form to inform us that you have set up a standing order for your Temple Membership. This is not a standing order mandate.

Once we have confirmed your standing order, we will activate your membership.

If you have not set up a standing order but would like to do so, please use the following details

Our Bank Details

Account Name: Om Saravanabhava Seva Trust

Bank Details: HSBC Bank

Sort Code: 40-46-09

Account Number: 31772147

Amount (in figures)

Date of First Payment

Frequency of Payment

Amount (in words)

Payment Due Day or Date

Reference (if applicable)

Your Details

First Name

Last Name

Home Address

Home Address Post Code

Preferred Phone Number

Confirmation

I can confirm that the details that I have entered into this form are correct to the best of my knowledge. If I would like to cancel my Temple membership and/or standing order, I agree to notify the Sharavana Baba Community Centre (Om Saravanabhava Seva Trust) as soon as possible. It is my responsibility to ensure the monthly donations are being made. I agree that the Om Saravanabhava Seva Trust reserves the right to cancel my membership if the monthly donations are not being made.

Please Sign - Please use your mouse or touchscreen to write your signature

Your Privacy

Your privacy is important to us, so we will keep your personal data secure. We need your personal details to process and manage your membership, and deliver your membership benefits. We will not share your information unless required to do so by law. Please see our privacy policy for more information on how we look after your personal data.

"We" means the Om Saravanabhava Seva Trust, charity number 1142610.