Rokpa UK Overseas Projects: Monthly Standing Order Form - Print Version

Gift Aid Option: Gift Aid increases the value of your donation by 28%

I (full name) ______________________________________________________

of (address) ______________________________________________________

_________________________________________________________________

_________________________________ Post Code ______________________

would like Rokpa Trust to treat all my donations from April 6^th 2000 onwards as Gift Aid donations until further notice. I confirm that I am a UK tax payer and the amount of income tax and/or capital gains tax I pay exceeds the sum of tax to be reclaimed in the tax year.

Signed _____________________________________ Date _______________

Standing Order Form for Regular Monthly Donations to Rokpa

Name & address of your bank _____________________________________

_____________________________________________________________

______________________________________ Post Code _______________

Account no __________________________ Sortcode _______________

Please pay: ROKPA UK Overseas Projects
Royal Bank of Scotland
LOCKERBIE DG11 2JH
Sort Code: 83-25-03 Account no. 00181978

The sum of £ ______ on the _________day of _______________ 20_____
and then on the same day each month until further notice.

Signed _____________________________________ Date _______________

Your name & Address______________________________________________

_______________________________________________________________

______________________________________ Post Code ________________

Use my donation for projects in:

Tibetan Areas of China Nepal Zimbabwe South Africa

OR ALLOW ROKPA UK TO DECIDE THE BEST USE FOR MY DONATION

OR use my donation specifically for:

The Tibet Healthcare Project

The EyeCare Project (Project No. 8011)
Sponsor a local clinician to work in the hospital (Project No. 7673)
Sponsor an orphanage student to degree level (Project No. 7674)

Please return this form to: Rokpa UK Overseas Projects, Kagyu Samye Ling, Eskdalemuir, LANGHOLM, Dumfriesshire DG13 0QL