Standing Order Mandate

Beneficiary Details:

HSBC Bank Plc, 126 High Road, Ilford, Essex IG1 1DA
Name of Account Al Safa Trust
Current Account No. 82067846
Branch sort code 40-25-27

Account to be Debited:

Sort code: A/C:
Name of A/C holder:
Bank Name & Address:
Post Code:

Payment Details:

Amount of payment:
Amount in words:
First Payment: *Last Payment:
(Or immediatly thereafter) *Delete (or continue until futher notice)

Paid(tick one): Weekly Monthly Annualy

Sign: Date:

Gift Aid (UK residents only):

I want Al Safa Trust to treat all donations I have made from the 6th April 2000 to this date and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid Donations, which is 28% of all donations made by me to Al Safa Trust. I understand to qualify for Gift Aid I am a UK Tax Payer and whatever I pay in income tax or capital gains tax must at least equal the amount Al Safa will reclaim.

Donation Details:

Country

Project

Type
(Z/S/L)

£ / GBP

Donation Details:

Name: Tel:
Name:
Postcode:
E-mail: