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St Gabriel’s
Roman Catholic High School
Learn
Love
Believe
St Gabriel’s PTA 250 Club
[Otherwise known as the, Help! We need a new mini bus club!]
For just £12 a year you could join our 250 club and potentially win prizes of £15, £25 and £50 in
our monthly draw. We’ve got plenty of room for new members! Money raised will go towards a new
school minibus.
Just fill in the form below (you can pay by cash, cheque or standing
order) and send it into the school office in an envelope marked 250
club.
Thanks
Celine Horton (250 Club Organiser)
St. Gabriel’s PTA Registered Charity No. 1084413
………………………………………………………………………………………………………………………
I wish to join St Gabriel’s PTA 250 Club
Name _________________________________________________________________
Address _______________________________________________________________
Post Code _______________ Telephone No. _______________________________
Please tick a box
I wish to pay by cash/cheque and enclose payment of £12
I wish to pay by standing order and have completed the application form below
STANDING ORDER MANDATE
To (your bank address)____________________________________________________
_______________________________________________________________________
ACCOUNT TO BE DEBITED
BENEFICIARY DETAILS
Sort Code ______________________________
Lloyds, Bury
Account No._____________________________
Sort Code 77-04-01
Account Name ___________________________
Acct No 23447960
Amount of payment £12.00
Date of payment: 1st of ______________ (annually)
Date of last payment ____________/ until further notice * (* delete as necessary)
Customer Signature ______________________________________Date____________
Headteacher
Telephone
Fax
Email
Website
Postal address
Mr S A Smith BA MA NPQH LLE
0161 764 3186
0161 761 3469
[email protected]
www.st-gabriels.org.uk
Bridge Road, Bury, BL9 0TZ
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