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Standing Order
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The easy way to make regular donations
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Your details
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Your full name (or name of business and address)
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Bank and branch name and address
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Postcode
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Account Name:
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Account Number
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Sort Code
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cccccccccccc
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cccccc
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Standing Order Details
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How often do you want the donation made?
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Monthly Quarterly Half Yearly Yearly
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(please tick as appropriate)
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Payment amount
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£
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Payment amount in words:
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Payment reference (initials & surname)
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First payment date _ _ / _ _ / _ _ _ _
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Final payment date _ _ / _ _ / _ _ _ _
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or
until further notice (please tick)
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Recipient
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Recipient’s name: The Rainbow Centre
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Recipient’s account no: 03645356
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Recipient’s bank : Lloyds TSB, Knowle
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Recipient’s sort code: 30 94 83
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Your Agreement
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I authorise you to debit my/our account, in accordance with the details above:
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Signature(s)
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Date
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Gift Aid Declaration
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Gifts from UK tax-payers qualify for Gift Aid. By ticking this declaration you are allowing the Rainbow Centre to reclaim the tax on your donations.
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I want the charity to treat all donations I have made in the past 6 years and all future gifts of money that I make from the date of this declaration as Gift Aid Donations until I notify you otherwise.
You must pay an amount of Income Tax and /or Capital Gains Tax in each tax year at least equal to the tax that the charity will reclaim from HM Revenue & Customs on your Gift Aid donation(s).
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Please notify the charity if you
1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and/or capital gains
Tax claimed by the charity
· The charity will reclaim 28p of tax on every £1 you gave up to 5 April 2008.
· The charity will reclaim 25p of tax on every £1 you give on or after 6 April 2008.
· The Government will pay to the charity or CASC an additional 3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief for the charity or the CASC does not affect your personal tax position.
If you pay income tax at the higher rate, you must include all your Gift Aid donations on your self assessment tax return if you want to receive the additional tax relief due to you.
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Signature:
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Please return the completed form to:
The Rainbow Centre, 27 Lilymead Avenue, Bristol, BS4 2BY
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Telephone: 0117 985 3343
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Registered Charity Number: 1120461 and a company limited by guarantee registered in England number 6240935.
Formerly registered charity number 293570.
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