Standing Order Form Your Bank Details Gift Aid Declaration printable pdf download

STANDING ORDER FORM

I would like to support Crossfire Trust

Your Name

______________________________________________________________

Your Address

______________________________________________________________

Your Email Address

______________________________________________________________

Your Telephone Number

______________________________________________________________

Please tick box if you would not like to receive information from time to time about what is happening at Crossfire Trust

Your Bank Details

Name of your bank

________________________________________________________

Address of your bank

________________________________________________________

Full name(s) of account holder(s)

________________________________________________________

Your bank sorting code

Your account number

Please pay my monthly/quarterly/annual* gift of £ _________

Start date ___________________________

(*Please delete as appropriate)

(Date on which your Standing Order should begin)

Please quote reference _____________________________________

(Please insert your surname)

Please pay to Crossfire Trust at Ulster Bank, Armagh branch

Sorting code 980190 Account number 01337016

This standing order should continue until cancelled by me/us in writing.

Your Signature(s) _____________________________

Date

______________________________

Gift Aid Declaration

I want the taxman to add 25p to every £1 of my gift, at no extra charge to me. (Please tick box and sign below)

I am a UK tax payer and want Crossfire Trust to treat all donations I have made since 6/4/2000 and all donations I make

from the date of this declaration until I notify you otherwise, as Gift Aid donations. I understand that I must have paid an

amount of income tax or capital gains tax equal to the tax your reclaim on my donations.

(Please remember to inform Crossfire Trust of any change in your tax status or address)

I am not a UK tax payer

Signature ________________________________

Date

_________________________________

Please return this form to:

Crossfire Trust, Darkley House, 95 Darkley Road, Keady, Co. Armagh. BT60 3AY

Thank you for your support

Crossfire Trust is a registered charity XN 77748

Standing Order Form Your Bank Details Gift Aid Declaration

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