Christian Lewis Trust Kids Cancer Charity

Standing Order Donation Form

Full Name:

Full Address:

Postcode:

Phone Number:

Email Address:

I wish to donate

£3

£6

£10

or my prefered amount of £

per month

Please debit my account on 5th		20th		of		(month)
(Please make the start date at least one month in advance)

To The Manager

Please debit my account number:

Bank Sort Code:

Bank Name:

Bank Address:

Bank Postcode:

Gift Aid
Please treat this and any future donations I make to Christian Lewis Trust and all payments I have made to Christian Lewis Trust from 6th April 2000 as Gift Aid donations.

Please Tick

* It doesn’t matter what rate of tax you pay as long as you pay an amount of income or capital gains tax equal to the tax we reclaim on your donations in that financial year. Please remember to inform us of any changes in your tax status.

Signature:

Date:

Please print out, complete and return this form to:

FREEPOST RRBZ-XCBC-SAJZ
Christian Lewis Trust Kids Cancer Charity
62 Walter Road, Swansea, SA1 4PT

Thank You For Your Support

Christian Lewis Trust Kids Cancer Charity

62 Walter Road, Swansea, SA1 4PT - Tel: 01792 480500 - Fax: 01792 480700

Print Form

Christian Lewis Trust Kids Cancer Charity, 62 Walter Road, Swansea, SA1 4PT
Tel: 01792 480500 - Fax: 01792 480700

Christian Lewis Trust Kids Cancer Charity is entirely dependent on voluntary donations

Name registered at Companies House and Charity Commission: Kids Cancer Charity
Charity Registration Number: 1113821 and a Company Limited by Guarantee Number: 5536898
© Christian Lewis Trust Kids Cancer Charity