Standing O rder Form For SJHCT (St John’s Holidays for Children) To: (insert name and address of your bank) -----------------------------------------------------------------------------------------------------------------------------Sort Code: _____/______/____ Account No: _____________________________ Please pay a regular gift of (tick appropriate box) £2 £5 £25 £100 or other amount | I wish to donate £ ________ (please also state the amount in words) __________________ each month to SJHCT. Please start on ___ / ___ / ___ and each month until further notice. Signature: _________________________ Date:______/________/20___ Caf Bank Ltd, 25 Kings Hill Ave, Kings Hill, West Malling, Kent ME19 4JQ Sort code: 40/52/40 Account: 00093494 (insert details of person setting up standing order below): Title: (Mr/Mrs/Dr etc) _______ Name: ____________________________________________ Address: _____________________________________________________________________ Post code: _________________ Phone: _____________________ Email: _________________________________ Tick the box to add an extra 25p to every £1 you give at no extra cost Yes, I pay tax in the UK. Please treat all donations I make or have made to the SJHCT for the past four years and for the future as gift aid donations until further notice. (You must pay income tax/capital gains tax at least equal to the amount of tax reclaimed on your donations.) Please send this form to Anne-Catherine Buxton, SJHCT, Tudor House, Broomfield Park, Sunningdale, Berkshire, SL5 0JS. DO NOT SEND THIS TO THE BANK – ONLY TO THE ABOVE ADDRESS SJHCT Registered Charity No. 284573
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