The Chichester
& District Citizens Advice Bureau
(Registered Charity No.1002826)
STANDING ORDER FORM
Please complete IN BLOCK CAPITALS:-
Please See also GIFT AID
DECLARATION attached
Full
Name:-
Title_____
Forename(s)__________________________________________________________________
Surname_____________________________________________________________________
Your
Address:- ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Post
Code_________________________
___________________________________________________________________________
CAB Reference Number______- (Completed
by CAB)
To
NAME OF
BANK_________________________________________________________
FULL ADDRESS OF
BANK
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Post Code_________________________
EXACT NAME(S) OF ACCOUNT
HOLDERS________________________________________
BRANCH SORT CODE________________________
BANK/BUILDING SOCIETY ACCOUNT
NUMBER_____________________________
PLEASE PAY to RBS BANK , 44
South St. Chichester, .., P019 1DS (Branch Code 16-16-20 for the credit of the
Chichester & District Citizens Advice Bureau, Account No.10119677 the sum
of:-
£__________ (Amount in figures)
..(Amount in words)
On the first day of ..(month) and annually thereafter
Signed ..Date
(you
may cancel this Standing Order at any time by contacting your bank)
Please return COMPLETED FORM TO:-
CAB, , Bell House,
6 Theatre Lane, Chichester PO19 1SR NOT directly to your bank
GIFT AID DECLARATION
Every subscription or donation received from a UK tax payer can be increased
by 28p from H.M.Treasury for every £1 donated, provided that the donor has paid
more tax than has been given to charity in the same tax year. If you would like
to make your gift go further, please complete this Gift Aid Declaration.
Full
Name:-
Title_____
Forename(s)__________________________________________________________________
Surname_____________________________________________________________________
Address:- ______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Post
Code_________________________
I wish The Chichester & District Citizens Advice Bureau
to treat all donations, including subscriptions, which I have made since 6
April 2000, and all donations, including subscriptions, I make from the date of
this declaration, as Gift Aid donations. I certify that I
have paid income tax or capital gains tax equal to the tax deducted from my
donations.
Signature
Date ___/___/_____
Please return COMPLETED FORM TO:-
CAB, , Bell House,
6 Theatre Lane, Chichester PO19 1SR
Your tax
requirement