STANDING ORDER




To [name of bank] ...........................................................


[branch address] ............................................................


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


Please pay Alliance & Leicester Commercial Bank, Bootle, sort code 72-00-01,
for the credit of The Pink Triangle Trust, account number 82049302, the sum
of


[amount in figures] .........................................................


[amount in words] ...........................................................

commencing
[date of first payment] .....................................................

and thereafter every
[due date or frequency] .....................................................

until further notice in
writing or [date of last payment] ...........................................

and debit my/our account accordingly. This replaces any previous standing
order I/we have made for transfer to the above account.


Name of account to be debited: ..............................................


Account number: .............................................................


Name(s): ....................................................................
[BLOCK CAPITALS PLEASE]


Address and postcode: .......................................................


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



Signature: ..................................................................



Signature: ..................................................................
[for joint accounts where both signatures are required]


Date: .......................................................................