Glenburn House, Glenburn Road South, Dunmurry, Belfast, BT17 9JP
Email: pcampbell@belfastbiblecollege.com, Tel: 028 90301551, Charity No: XN47242A
Standing Order Form
SECTION 1 – Please complete the name and address of your bank/building society
TO: ______________________________________________ (Bank/Building Society Name)
______________________________________________ (Bank/Building Society Address)
______________________________________________
SECTION 2 – Please complete the date on which you wish the first payment to be made to Belfast Bible College.
ON THE _________ DAY OF ___________________ 20____
SECTION 3 - Please enter the amount you wish to be paid to Belfast Bible College in both words and figures
Please pay the sum of ____________________________________________ ( £_________ ) to:
Belfast Bible College Limited, Ulster Bank (Dunmurry Branch)
183 Kingsway, Dunmurry, Belfast, BT17 9AH
Sort Code: 98-05-90, Account number: 21890032
and thereafter make like payments monthly until further notice.
SECTION 4 – Please sign and date this form
SIGNATURE: _____________________________________________
DATE: ____________________
NAME (in block capitals): _____________________________________________
YOUR ACCOUNT NUMBER: _____________________________
Please take or send this completed form to your local bank/building society branch. Alternatively you can send it to
BBC marked for the attention of Philip Campbell and we can forward it on your behalf. If possible, please email Philip
Campbell at pcampbell@belfastbiblecollege.com to make him aware of any standing orders you are setting up.
THANK YOU