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Get UK CCLA COIF Charities Deposit Fund Withdrawal Form 2013

Ng black ink. Date CCLA account number C CCLA account name Please withdraw Please send a BACS payment to the nominated bank account or Please transfer to another COIF Charities Deposit Account No. C Authorised signature(s) This form must be signed in accordance with the current mandate. Senator House, 85 Queen Victoria Street, London EC4V 4ET Freephone: 0800 022 3505 www.ccla.co.uk CCLA Investment Management Limited (Registered in England No. 2183088 at the above office) is authorised.

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