Standing Order

Bankers Standing Order Form

Please complete this form on the screen, print off a copy and return it to us at the address below. Alternatively you can print a blank form and handwrite your details.

Your name:
Your address:

City:
Postcode:
Telephone:
Your e-mail address:

Please pay to HSBC Bank, 27 Blenheim Terrace, Woodhouse Lane, Leeds LS2 9HE for the credit of St Anne's Community Services (Account No. 01064193 Sort Code 40-27-29)

£20*

£15*

£10*

£5*

£3*

(* delete as necessary, £ ? indicates please specify other amount)

per month until further notice and debit my account. My bank details are:

Account No:

Sort Code:


Signature:	......................................................	Start date:	......../ ......../ ........

Name of bank:
Address of bank:

City:
Postcode:

GIFT AID - make your donation worth more at no extra cost to you!

If you are a taxpayer, for every £1 you donate we can claim an extra 28p from the taxman. All you need to do is check the box next to the declaration below. It's as easy as that.

Gift Aid:

"I would like the Yorkshire Charities Group to reclaim the tax on all donations I have made since 6th April 2000 and all future donations I make to the charity until further notice, at no extra cost to myself"

In order for the Yorkshire Charities Group to reclaim the tax you have paid on your donation(s), you must have paid income or capital gains tax (in the UK) equal to the tax that will be claimed from the Inland Revenue (currently 28p for each £1 you donate). Please untick this box if you are not eligible to pay Gift Aid

Please return this form to:

Yorkshire Charities Group, c/o The Financial Accountant, St Anne's Community services, 6 St Mark's Avenue, Leeds LS2 9BN