Donation Form Wiltshire Historic Churches Trust Registered Charity No.1075598 Please complete either: 1. I wish to make a one-off gift to the Wiltshire Historic Churches Trust (Please tick box) I enclose my cheque for £……………………………… (please insert figures) Please make cheques payable to ‘Wiltshire Historic Churches Trust’. If you are a UK Taxpayer and wish the Trust to treat your donation as Gift Aided, please also complete the Gift Aid Certificate. Or 2. I wish to make regular gifts to the Wiltshire Historic Churches Trust. (Please tick box) Please complete the Bankers’ Order below If you are a UK Taxpayer and wish the Trust to treat your donations as Gift Aided, please also complete the Gift Aid Certificate. Donor’s details Title…………… First name or initial(s)……………………. Surname………………………………………… Full home address ………………………………………………………. ………………………………………………………. Date …………/…………………../20………. Postcode………… Signature……………………………………… Thank you for completing this Donation form. Please send it and your cheque or Bankers’ Order form and if applicable, your Gift Aid certificate to The Treasurer, Wiltshire Historic Churches Trust, 2, Leighton Park Road, Westbury, Wiltshire BA13 3RX Bankers’ Order Name of your Bank: Bank’s Address: Post Code: Account Name: Sort Code: Account Number: Please debit this account and pay to: Wiltshire Historic Churches Trust Sort Code: 30-97-41 Account Number: 00880704 Lloyds Bank, Salisbury The sum of £……………….. Amount in words: ……………………………………pounds Starting from: ……………………………………… (date) And annually/monthly (delete as appropriate) thereafter, until further notice. Signature(s): ………………………………………………. .………………………………………………. Date: …………………….