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BLOCK CAPITALS PLEASE
CHALLENGE 900
To the Trustees of St Mary de Castro Challenge 900
Charitable Trust (Registered Charity Number 1080547)
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| 1. The amount you wish to give, and tick
box to show how often you wish to give it |
I/We promise to pay you:
£.................. each month ¨
quarter ¨ year ¨ |
| 2. The date of the first payment. |
starting from
........./........../........... (date) |
3. New Gift Aid Declaration
Tick box if appropriate |
¨ I am a UK
tax-payer - please treat all my donations to Challenge 900 made
through the Banker’s Order below as Gift Aid donations, and
reclaim the tax * |
| 4. Sign and date the form |
Signed ............................................................................
Date ............................. |
| 5. Your full name, address and
telephone number
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Full name
..............................................................................................................
Address
.................................................................................................................
..................................................................................
Postcode .............................
Telephone No. (in case of any query)
...................................................................
* You must pay an amount of income tax or capital
gains tax at least equal to the tax we reclaim on your donations
(currently 28p for every £1 you give).
You can cancel this declaration at any time. |
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Banker’s Order |
| 6. Name and address of your bank |
To the Manager
......................................................................................Bank
plc
Address
.................................................................................................................
..................................................................................
Postcode ............................
Please pay to the Trustees of St Mary de Castro Challenge 900
Charitable Trust (Registered Charity Number 1080547) at NatWest Bank
plc, 14 - 16 Haymarket, Leicester LE1 3NT
Sort Code
60-60-06
Account No. 14172283
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| 7. The amount you wish to give (same as 1
above) and the date
of the first payment (same as 2 above) |
The sum of £ ................ figures
(....................................................................................)
words
commencing on the ............. day .........................20.....,
and a like sum: |
| 8. Tick box to show how often you wish the
bank to make the payment (same as 1 above) |
¨MONTHLY
¨QUARTERLY ¨ ANNUALLY
until further notice, and debit my account with each
payment when made. |
| 9. Sign and date the form, and enter your
address and details
of your bank account (you can find these on your cheques) |
Signed
.............................................................................
Date ............................
Address
.................................................................................................................
..................................................................................
Postcode .............................
Name(s) of Account Holder(s)
...........................
.................................................
Sort Code ¨¨-¨¨-¨¨
Account No.¨¨¨¨¨¨¨¨
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| 10. Please return the whole form (both
parts) |
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