BANKER’S ORDER

CANCER

RESEARCH

WALES

(Registered Charity No. 248767)

This order may be used for either a Gift Aided donation or

as a normal Banker’s Order. In either case, please complete and

send it to Cancer Research Wales, Velindre Hospital, Whitchurch,

Cardiff CF14 2TL and not to your bank.

To

(Name and address of your Bank)

Account Number

Please pay Nat. West Bank, Cardiff North Branch, 21 High St,

Llandaff, Cardiff CF5 2DY for the account of Cancer Research

Wales (Sort code 537030) (Account No. 01309382) the sum of:

£

(Amount in words)

PLEASE ENSURE THAT On 200 __

ALL PARTS OF THE FORM

ARE COMPLETED AND and thereafter on the same day of each week / month / year

ANY ALTERATIONS ARE until otherwise notified.

INITIALLED.

Please send to: Signature

Robert Fawkes Full name in capitals

Cancer Research Wales

Velindre Hospital Full address in capitals

Whitchurch

Cardiff

CF14 2TL

We will forward to your Bank.