Direct Debit Campaign – Registration

Name …………………………………………………………………………………………….

Address  …………………………………………………………………………………………

……………………………………………………………………..   Postcode  ………………

Return completed form to:

ECR, 49 Hillside Park, Bargoed, Mid Glam.  CF81 8NJ

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Gift Aid Declaration

Please treat this donation as Gift Aid until I notify you otherwise:

Signed  ………………………………………………    Date  ………………………………..

NB  you must pay an amount of UK income tax and/or capital gains tax at least equal to the tax that Everyone’s Child Romania reclaims on your donation (currently 28p for each £1 that you give).  If in the future your circumstances change and you no longer pay tax on your income or capital gains equal to the tax ECR reclaims, you can cancel your declaration.  If you pay tax at the higher rate, you can reclaim further tax relief in your self-assessment tax return.

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Standing Order Mandate

Please return this form to Everyone’s Child Romania.  We will forward it to your bank.

To the manager (your bank) ………………………………………………………………….

Bank address  …………………………………………………………………………………..

………………………………………………                             Postcode  ………………….

Please pay Everyone’s Child Romania the sum of £_____ every month starting on   ……………………………………………………………………………………………………

Reference no.  ………………………………………….. (please leave blank)

Please debit my account no.  …………………………………………………………………

Sort code no.  …………………………………………………………………………………..

Account name(s)  ………………………………………………………………………………

Signed  ………………………………………………………………………………………….

Note to bank:  Please pay Everyone’s Child Romania at Lloyds TSB, Blackwood, Gwent, Sort Code 309091, Account No. 3346018