I AM A MEMBER OF STOP STANSTED EXPANSION AND WOULD LIKE TO MAKE A REGULAR DONATION OF £.............. A MONTH (Minimum £5)
PLEASE USE BLOCK CAPITALS
Title (Mr/Mrs/Miss/Ms/Other): .................. Name: .........................................................................................
Address: ..............................................................................................................................................................
............................................................................................... Post Code: ...........................................................
Telephone: .............................................................. Email: ................................................................................
PLEASE PAY SSE £................... EACH MONTH UNTIL FURTHER NOTICE AND DEBIT:
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Starting on:
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(Please allow at least one month between signing this form and the date of the first payment)
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Your Bank Name and Branch Address: .......................................................................................................
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Signature: ............................................................................................. Date: ....................................................
SSE Bank Account Details:
Sort Code: 30-90-84
Account Number: 01310292
Lloyds TSB
20 North Street
Bishop's Stortford CM23 2LN
Thank you for supporting our efforts to put a stop to unsustainable proposals to expand Stansted Airport, which would have a devastating effect on our region, quality of life and environment for generations to come. If you think you can help the campaign in any other practical ways, please describe here: