I/We agree to send a donation to Labour Against The War.
[ ] I wish to sponsor LATW (suggested minimum donation £5)| £5 | £10 | £20 | Extra donation | ||
| Name: | |||||
| Address: | |||||
Standing Order Mandate | |
| I/We agree to donate £ ..........(£5, £10, £20, Other) per month starting on the ....................... of each month. | |
| Start date ..................... to the Labour Against The War at Unity Trust Bank, sort code 08-60-01. Account 20109994. Reference ................... | |
| Signed | Dated |
| Name | Bank name |
| Address |
Bank address |
| Bank account no. | Bank sort code |