For office use Ref No:
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Standing Order Form

Please print out this form, complete and return it to Buttercups Sanctuary for Goats, Boughton Monchelsea, Kent, ME17 4JU

Personal Details (Please print)

Title_________ Surname____________________________Initials _______


Address________________________________________________________


________________________________________ Post Code _____________

Bank Details

Name of Bank____________________________


Address________________________________________________________


________________________________________ Post Code _____________

Account No:___________________ Sort Code:____________________

Please pay: Buttercups Sanctuary for Goats, National Westminster Bank, 3 High Street, Maidstone, Kent
Sort Code: 60 60 08 ......Account No: 83224394

The sum of £_____ on the ______ day of ______________ 200__ and afterwards
on the same day each month/year until further notice.

Signed:__________________________ Date:_____________

Gift Aid
We can claim a further 28p in the pound from the Inland Revenue if you sign this as a Gift Aid, provided that you are a UK taxpayer.
I would like to treat all monies that I give from the date of this declaration until I notify you otherwise as a Gift Aid Donation.

Signed___________________________ Date__________________________