Standing Order form

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STANDING ORDER FORM Yes, I would like to become a regular supporter of Camfed and give: £2.50 per month which could pay for the uniform a girl needs to go to school £10 per month which could provide girls with essential school suplies £15 per month which could keep a girl in secondary school for a year Other (please specify amount and frequency e.g. per month:

MY ACCOUNT DETAILS

TO THE BANK MANAGER (For Camfed to complete)

Name and title:

Please make this bankers order payable to:

Account number:

Account name:

Sort code :

/

Bank branch name and address:

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Bank branch name and address (including postcode):

Account number: Donation start date:

Sort code:

DD/MM/YYYY

Signed:

Date:

/

/

DD/MM/YYYY

GIFT AID DECLARATION - Boost your donation by 25p of Gift Aid for every £1 you donate Tick the box below and Camfed International can reclaim Gift Aid from the tax you pay for the current year. Your address is needed to identify you as a current UK taxpayer. Yes, I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to Camfed International, until I notify you otherwise. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Full name and home address (as a minimum we must have your full name, postcode and house name/number):

Please notify us if you if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

STAY CONNECTED! Your support makes our vital work possible. Occasionally, we will contact you or write to you to keep you informed about our work. Camfed will not disclose your personal information to any third parties. Please tick the boxes below to let us know how would like to be contacted (or not at all) and include your information. Please contact me via: Email:

Post

Email

Telephone

Not at all Phone:

Thank you, from Camfed! Please send your completed form to Camfed International, St Giles Court, 24 Castle Street, Cambridge, CB3 0AJ Camfed International is UK registered charity no. 1029161

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