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GIVE BY STANDING ORDER.
GIFT AID FOR ALL TYPES OF GIVING.
PLEASE ENTER PERSONAL DETAILS ON THE FRONT OF THIS ENVELOPE.
DOES THIS STANDING ORDER REPLACE ANY EXISTING ONES? YES
NO
IN ORDER FOR US TO CLAIM PLEASE CONFIRM THE FOLLOWING, SIGNING IN THE SPACE PROVIDED:
‘I CONFIRM I HAVE PAID OR WILL PAY AN AMOUNT OF INCOME TAX AND/OR CAPITAL GAINS TAX FOR
EACH TAX YEAR (6 APRIL TO 5 APRIL) THAT IS AT LEAST EQUAL TO THE AMOUNT OF TAX THAT ALL THE
CHARITIES OR COMMUNITY AMATEUR SPORTS CLUBS (CASCS) THAT I DONATE TO WILL RECLAIM ON MY
GIFTS FOR THAT TAX YEAR. I UNDERSTAND THAT OTHER TAXES SUCH AS VAT AND COUNCIL TAX DO NOT
QUALIFY.’
NAME OF BANK/BUILDING SOCIETY:
ADDRESS OF BANK/BUILDING SOCIETY:
ACCOUNT NO.
I AM A UK TAXPAYER AND WOULD LIKE CHRISTCHURCH LONDON TO CLAIM GIFT AID ON ALL
MY DONATIONS (until I notify you otherwise)
SORT CODE:
I AM ALSO CONSENTING TO MY DETAILS BEING HELD ON RECORD BY CHRISTCHURCH LONDON.
SHOULD MY CIRCUMSTANCES CHANGE SUCH THAT THIS IS NO LONGER THE CASE, I WILL INFORM YOU
AND CANCEL THIS DECLARATION.
PLEASE DEBIT MY ACCOUNT BY THE SUM OF: £
(Amount in words)
/
EVERY MONTH STARTING FROM:
/
Until further notice, and credit the amount to the account of: ChristChurch London
SIGNED: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . DATE: . . . . . . . . . . . . . . . . . . .
(a/c 71416693, sort code: 40-02-12 ) at HSBC Bank Plc, 281 Chiswick High Road, London, W4 4HJ.
PLEASE ALSO NOTE THAT IF YOU PAY TAX AT THE HIGHER RATE YOU CAN CLAIM FURTHER TAX RELIEF IN
YOUR SELF ASSESSMENT TAX RETURN.
SIGNED: ..................................................................................... DATE: ......................................
I HAVE SET UP AN ONLINE TRANSFER AND THIS IS MY TAX DECLARATION
FOR OFFICE PURPOSES. I HAVE COMPLETED MY DETAILS IN FULL AND
SIGNED OVERLEAF.
IF YOU HAVE ANY QUESTIONS OR QUERIES PLEASE CONTACT:
[email protected]
PLEASE ENTER YOUR SURNAME AND INITIALS AS YOUR REFERENCE.
(Amount in words)
AMOUNT OF GIFT:
CASH
ACCOUNT NAME: CHRISTCHURCH LONDON
ACCOUNT NUMBER: 71416693
SORT CODE: 40-02-12
£
CHEQUE (CHEQUES PAYABLE TO CHRISTCHURCH LONDON)
• SIGN IN TO YOUR ONLINE BANKING WEBSITE
• GO TO PAYMENTS AND TRANSFERS (EITHER REGULAR OR SINGLE)
• ENTER THE AMOUNT YOU’D LIKE TO GIVE AND THE DATE
• ENTER OUR ACCOUNT DETAILS FOR THE TRANSFER:
GIVE BY CASH OR CHEQUE.
DATE OF GIFT:
/
/
GIVE ONLINE.
TELEPHONE:
EMAIL:
CARD HOLDER’S SIGNATURE: ..................................................................................................................
POSTCODE:
ADDRESS:
CSC NO:
(last 3 digits on reverse of card)
SURNAME:
START DATE:
TITLE:
/
EXPIRY DATE:
/
ISSUE NO:
FIRST NAME:
YOUR DETAILS.
CARD NO:
PLEASE USE BLOCK CAPITALS
VISA
I’D LIKE TO GIVE.
MASTERCARD
MAESTRO
NAME ON CARD:
GIVE BY CREDIT CARD.
DON’T FORGET TO FILL OUT YOUR GIFT AID DECLARATION!
SWITCH/SOLO/DELTA
VISA ELECTRON