The Kambia Appeal
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Please print this page, complete in BLOCK CAPITALS and post to us.

The Kambia Appeal Regular Donation Bankers Order 

Registered Charity No. 1014034
Your Name and Title 
Your Address:


Postal Code:
PLEASE PAY: 

The Kambia Appeal 

£.......................

each Month/Quarter/Year (delete as appropriate)

Commencing ......../........ /........
 until I cancel this order.
Signature:
Date:
  

YOUR BANK DETAILS 
 
Bank Account No:    ...... / ...... / ...... / ...... / ...... / ...... / ...... / ......
 
Bank Sort Code:      ...... ...... / ...... ...... / ......  ...... 
Bank Account Name:
Bank Name and Address:


Postal Code:
 

GIFT AID

By consenting to GIFT AID on your donation we can reclaim a further 25% from the tax office. To qualify you must pay an amount of income tax and / or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year (currently 25p for each £1 you give).
 
I hereby give permission for The Kambia Appeal to reclaim tax on all donations I have made since 6th April 2000 and I make hereafter.
Signature:
Date:

Many thanks for your kind support donation

THE KAMBIA APPEAL BANK DETAILS

 (To be completed by the Appeal)
Bank Name and Branch
 
   
 
Account Number
 ...... / ...... / ...... / ...... / ...... / ...... / ...... / ......
 
Sort Code
 ...... ...... / ...... ...... / ...... ......
 
Please post to:
The Kambia Appeal
78 Painswick Road
Cheltenham
Glos.
GL50 2EU
  
DATA PROTECTION:
Your details will be entered on our database Please tick the box if you do not wish to be notified of forthcoming events, Appeal news or ways to help the Appeal.