COMBINED STANDING ORDER MANDATE AND GIFT AID DECLARATION Standing Order Mandate

Name of Bank Bank Address Post Code :

Please pay for the credit of Lloyds TSB HOPE worldwide Sort Code Account 30 97 81 00035904
Date of Month

Start date and amount of first & subsequent payments

/ 20__

and thereafter every

Monthly

quoting the ref. HOPE , until you receive further notice from me/us in writing. This instruction cancels any previous standing order to HOPE worldwide.
Details of account to be debited Name under which account is held Account number

Signature

Date

/ 20__

Gift Aid Declaration

The Gift Aid scheme allows HOPE worldwide to claim back the tax you have paid on your donations. If you are a UK tax-payer please consider completing the section below in order to benefit HOPE worldwide further at no extra cost to yourself.

Full Name Home Address

Postcode Email
This declaration is to apply to all donations I have made since 6th April 2008 and to all donations I make hereafter. I want all these donations to be treated as Gift Aid Donations. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax that is at least equal to the tax reclaimed on my donations by all the charities or CASCs I donate to for that year. As of 6th April 2008, HOPE worldwide will reclaim 25p of tax on every 1 that has been given.

Signature

Date

/ 20__

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 Post to: HOPE worldwide, Freepost RLXS-GHRE-SBZJ, 360 City Road, London, EC1V 2PY