BANK STANDING ORDER MANDATE

Full name…………………………………………………..……

Address……………………………………………………………..………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………...Postcode………………………………..

I would like to help Greyhounds in Need with an annual / quarterly / monthly gift of £………………..………………..

Name of your bank…………………………………………………………………………………………………………………………………

Address of your bank…………………………………….………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………..

…………………………………………..………………………………………………....Postcode…………………..……………..………...

Bank sort code …..-…….-……    Account Number……………………………………………………………….………..

Bank Instruction:-   Please pay the stated amount on the same day  each year / quarter / month, starting on       /       /      / 

Signature ……………………………..…………………….Date……………………………………………….…

GREYHOUNDS IN NEED  GIFT AID DECLARATION

 REG.CHARITY IN ENGLAND AND WALES  NO. 1069438     

Name in full……………………………………………………………………………………………………………………..…….

Address…………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………………………………………………………………………………….

………………………………………………………………………………….Postcode………………………………………………

Date of completion …………………………………………………………………………………………………………….

Telephone (home) ………………………………………………………………………………………………………………..

Email ………………………………………………………………………………………………………………………………………..

I would like Greyhounds in Need to treat all donations that I have made for the past six years prior to this year (but no earlier than 6th April 2000) and all future donations that I may make until I notify you otherwise, as Gift Aid donations.

Please send this completed form to Greyhounds in Need,

33 High Street, Wraysbury, Middlesex, TW19 5DA