Instructiontoyour Bankorbuildingsociety Topaybydirectdebit

Instructiontoyour bankorbuildingsociety topaybyDirectDebit

Nameandfullpostaladdressofyour bankor buildingsociety:Serviceusernumber:

Bank/buildingsociety:

CAF,KingsHill, WestMalling,Kent,ME194TA

Address:

Postcode:

InstructiontoyourBankorBuildingSociety

PleasepayCharitiesAidFoundationDirectDebitsfromthe accountdetailedinthisinstructionsubjecttothesafeguards assuredbytheDirectDebitGuarantee.Iunderstandthat

thisinstructionmayremainwithCharitiesAidFoundationand,

ifso,detailswillbepassedelectronicallytomybank/building

society.

Name(s)ofaccountholder(s):

Signature(s)

Bank/BuildingSocietyaccountnumber

BranchSortCode

DATE: ……………………………

BanksandBuildingSocietiesmaynotacceptDirectDebitInstructionsfromsometypesofaccount

ThisisnotpartoftheInstructiontoyourBankorBuildingSocietyandmustbedetachedbyCharitiesAidFoundationbeforesubmissiontothePayingBank.

MyDetails

MrMrsMsOther(pleasespecify)

Name

Address

Postcode

DonationDetails

Iwouldliketomakearegulardonationof £

QuarterlyMonthlyAnnuallyCommencing

01//or

15//

GiftAidDeclaration boost your donation 25p for every £1

IamaUKtaxpayerandwouldliketo Gift Aid my donation and any donations I make in

future or have made in the past four years. I understand 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. Please notify BWBF if you want

to cancel this declaration, change your name orhome address, no longer pay

sufficient tax onyour income and/or capital gains. If you pay income tax at the higher or additionalrate and want to receive theadditional tax relief due to you, you must include allyour Gift Aid declarations on your Self-Assessment tax return or ask HM Revenueand Customs to adjust your tax code.

Ticktoapply

Thisguaranteeshouldbedetachedandretainedbythepayer

TheDirectDebitGuarantee

• ThisguaranteeisofferedbyallbanksandbuildingsocietiesthatacceptinstructionstopayDirectDebits

• Ifthereareanychangestotheamount,dateorfrequencyofyourDirectDebit,CharitiesAidFoundationwillnotifyyoutenworkingdaysinadvanceofyouraccountbeingdebitedoras

otherwiseagreed.IfyourequestCharitiesAidFoundationtocollectapayment,confirmationoftheamountanddatewillbegiventoyouatthetimeoftherequest

• IfanerrorismadeinthepaymentofyourDirectDebit,byCharitiesAidFoundationoryourbankorbuildingsociety,youareentitledtoafullandimmediaterefundoftheamountpaidfrom yourbankorbuildingsociety.Ifyoureceivearefundyouarenotentitledto,youmustpayitbackwhenCharitiesAidFoundationasksyouto

• YoucancancelaDirectDebitatanytimebywritingtoyourbankorbuildingsociety.Writtenconfirmationmayberequired.Pleasealsosendacopyofyourlettertous.