image SSE EXISTING MEMBER STANDING ORDER FORM

PRINT THIS PAGE, COMPLETE & RETURN TO:
Stop Stansted Expansion, PO Box 311, Takeley, Bishop's Stortford CM22 6PY

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:

My Account Number:  








Bank Sort Code:  








Starting on:  



(Please allow at least one month between
signing this form and the date of the first payment)

Your Bank Name and Branch Address: .......................................................................................................

.................................................................................................................................................................................

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: