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Standing Order Mandate

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To: Bank or building society (name)
Branch	Sort code:
Address	A/C no:
	A/C name:
Amount of payment £……………to be paid every month on the 1^st/ 15^th/ 30^th of each month (delete as appropriate) Where no preference given, donations will be set up for the 1^st of each month
Amount of usual payment in words
Signature	Date

Date of first payment will be first applicable date following receipt of this instruction

Good News!!!! If you are a UK Taxpayer, A25 can claim an extra 28 pence from the Inland Revenue on every pound you donate, at no cost to you! Just sign below!

"I am a UK taxpayer and would like Article 25 to be able to claim the tax back on any donations I make to them after April 05 2002"

Signed _{-------------------------------------------------------}

Donations can also be made directly into our account:

Co-Operative Bank

Sort Code: 08-92-99

A/C No: 65182811


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Article 25

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Donate

To make a regular donation direct from your bank account, simply print out this form, fill outand send to:

To make a regular donation direct from your bank account, simply print out this form, fill out
and send to: