Bumblebee Conservation Trust Donation Form

Your Details:

Title and full name:
Address:
Postcode:
Telephone:
Email:
Email preference: / Are you happy for us to contact you by email? / Yes / No

Data Protection Act - Your privacy is very important to us:

Please advise your preferred means of communication by ticking the relevant box(es) below:
Post
Telephone
Email
Text (SMS)

Data Protection Statement

We will not share your information with any third parties.

We will retain your details to provide you with information about the Trust, conservation and our fundraising activities. We may also contact you regarding our annual Bumblebee Conservation Trust Cash Appeal.

For further information please see our Privacy Policy on our website or call us on 01786 594130 to request a copy.

If you ever wish to change the way in which we communicate with you please email or call us on 01786 594130.

Donation amount:

I would like to make a one-off donation of: / £
I would like to make a regular donation of: / £
The reason I am donating is:
Would you like to receive our free monthly e-newsletter? / Yes / No
How did you hear about us?

How would you like to pay?

Cash
Cheque / Please make cheques payable to ‘Bumblebee Conservation Trust’

PTO:

Please return this from to: Bumblebee Conservation Trust, Beta Centre, Stirling University Innovation Park, Stirling, FK9 4NF.

Credit or Debit Card / Cardholders name:
Card number
Issue number / Expiry date / / / Start date / /
Direct Debit regular monthly payment – complete instruction below
Gift Aid: boost your donation by 25p of Gift Aid for every £1 that it costs.
In order for us to claim Gift Aid on your behalf you must tick the box below.
I want to Gift Aid my donation of £______and any donations I make in the future or have made in the past 4 years.
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
Signature……………………………………………………………………………………………….. Date…………………………………………………..

Instructions to your bank or building society to pay by Direct Debit

______

The Direct Debit Guarantee

Banks and building societies may not accept Direct Debit Instructions for some types of account.

A copy of this guarantee will be sent to you. This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits

If there are any changes to the amount, date or frequency of your Direct Debit Bumblebee Conservation Trust will notify you 5 working days in advance of your account being debited or as otherwise agreed. If you request Bumblebee Conservation Trust to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Bumblebee Conservation Trust or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building societyIf you receive a refund you are not entitled to, you must pay it back when Bumblebee Conservation Trust asks you toYou can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Bumblebee Conservation Trust, Beta Centre, Stirling University Innovation Park, Stirling, FK9 4NF

BBCT is a registered charity (No. 1115634 (England & Wales)SC042830 (Scotland)) and a Company Limited by Guarantee (No. 05618710)