Monthly Standing Order Form - Print Version

Use my donation for:

Yushu Earthquake Emergency Relief

Yushu Re-build for the future

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 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 _______________

 

Please return this form to: ROKPA UK Overseas Projects, Kagyu Samye Ling, Eskdalemuir, LANGHOLM, Dumfriesshire DG13 0QL Tel: 01387 373 232 Ext. 230

ROKPA UK is part of ROKPA Trust, reg. charity in England & Wales (1059293) and in Scotland (SCO38628)