RENEWAL www.respectrenewal.

org

I would like to join and enclose £10/£5 Name Date of birth

unwaged or low waged
payable to Respect Renewal Conference Address

I would like to make a donation of

£...................... Post code
payable to Respect Renewal Conference

I would like to offer my time and skills Phone/s

I would like further information Email

I am a student/ a trade union member College/ trade union

I wish to take out a standing order for Respect Renewal Conference. Amount £............. per month. Amount in words .........................
Payments to be made monthly. First payment to be made on (date) ....................... and each month thereafter on the same day.
Bank name ..............................................................................................................................................................................................................................
Bank address ..............................................................................................................................................................................................................................
.................................................................................................................................... Bank post code ................................................
Account holder’s name .............................................................. Account number .......................... Sort code ..............................................
Please pay NatWest, Temple Bar Branch, PO Box 10720, 217 Strand, London WC2R 1AL, sort code 60-80-08, for the credit of the
Respect Renewal Conference, account number 60601051, the sum of the value indicated above.
Signed Date

Respect Renewal c/o: PO Box 1109, London N4 2UU 07958 450 867 respectrenewal@gmail.com

RENEWAL www.respectrenewal.org

I would like to join and enclose £10/£5 Name Date of birth

unwaged or low waged
payable to Respect Renewal Conference Address

I would like to make a donation of

£...................... Post code
payable to Respect Renewal Conference

I would like to offer my time and skills Phone/s

I would like further information Email

I am a student/ a trade union member College/ trade union

I wish to take out a standing order for Respect Renewal Conference. Amount £............. per month. Amount in words .........................
Payments to be made monthly. First payment to be made on (date) ....................... and each month thereafter on the same day.
Bank name ..............................................................................................................................................................................................................................
Bank address ..............................................................................................................................................................................................................................
.................................................................................................................................... Bank post code ................................................
Account holder’s name .............................................................. Account number .......................... Sort code ..............................................
Please pay NatWest, Temple Bar Branch, PO Box 10720, 217 Strand, London WC2R 1AL, sort code 60-80-08, for the credit of the
Respect Renewal Conference, account number 60601051, the sum of the value indicated above.
Signed Date

Respect Renewal c/o: PO Box 1109, London N4 2UU 07958 450 867 respectrenewal@gmail.com