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

Gift Aid Option: Gift Aid increases the value of your donation by 25%

I (full name) ______________________________________________________

of (address) ______________________________________________________

_________________________________________________________________

_________________________________ Post Code ______________________

would like ROKPA Trust to treat all my donations, from April 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 1Account 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 5 Nepal 4 Zimbabwe 3 South Africa 2

Other Please specify project if you would like the project code please contact ROKPA UK (details below)

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

OR use my donation specifically for:

Please return this form to: ROKPA UK Overseas Projects, Kagyu Samye Ling, Eskdalemuir, LANGHOLM, Dumfriesshire DG13 0QL Tel: 013873 73232 ext 230