Friends of the Lake District Mountain Rescue Search Dog Association
Reg. Charity No. 101 5934
I would like to become a Friend of the Lake District Mountain Rescue Search Dogs:
Full name
Address
Postcode
Email
Telephone
Account Name
Bank or Building Society
Account No.
Sort Code
-
-
Bank Address
Postcode
Please pay
£
Amount in words
(
:
)
On my behalf on a monthly basis starting on
Day
Month
Year
Until further notice.
Payment to be made to the following account:
Lake District Mountain Rescue Search Dogs Friends Account
HSBC, Crescent Rd, Windermere LA23 1EF
Account No. 91427423 Sort Code 40-47-01
Please treat this amount as a Gift Aid donation. We can reclaim tax from the Inland Revenue at no cost to
yourself.
Signature
Date
Please print name
The information you have given to us will be used only to set up your donation. It will not be disclosed to any
other charity or business.
Please send your completed form to:
Jane Plimmer
Friends of the Lake District Mountain Rescue Search Dogs
2 High Croft
High Bentham
LANCASTER
LA2 7FE
Telephone 01524 264808
Email: friends@lakes-searchdogs.org
We thank you for your
support