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Donations and Standing Orders
Standing Orders
To the manager ________________________________ Bank
Branch Address ___________________________________________________________
____________________________________________ Postcode ____________________
Please pay: Natwest Bank, I High St, Woking Surrey, GU21 1ZS
For the credit of Account No. 16167570. Sort Code: 60-24-20
The sum of £ ______________ each month until further notice.
Starting on (date): __________________ charging such payments to the following account.
Account: _________________________________ Sort Code: _______________________
Full Name: _______________________________
Signature _________________________________ Date: __________________________
Address: _________________________________________________________________
_________________________________________ Postcode: _______________________
Phone (including area code): ___________________ Mobile: ________________________
If you would like to support the charity, please fill in the standing order section above or, if
you would like to make a one off donation, you can send a cheque made payable to:
‘Hashim Welfare Hospital Appeal’ and crossed ‘A/C Payee only’.
Gift Aid declaration
If you are setting up a standing order or a one off donation, it would be beneficial to the charity if you also fill in the Gift Aid declaration below. This will allow the charity to recover tax from the Inland Revenue thus allowing a 28% increase in the amount donated, if you have paid tax on the donated amount.
I want the charity to treat the donation of £ _____________ as a Gift Aid donation,
Which I made on (date) __________________________ and all other donations I make from the date of this declaration until I notify you otherwise.
Full Name: _______________________________
Signature _________________________________ Date: __________________________
Address: _________________________________________________________________
_________________________________________ Postcode: _______________________
Phone (including area code): ___________________ Mobile: ________________________
Please send the completed form to:
The Treasurer, Hashim Welfare Hospital Association, 103 Walton Rd, Woking, SURREY GU21 5DW
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