73 St. Charles Square, London W10 6EJ
Telephone: 020 8960 9099 Fax: 020 8960 9144
Email: info@familyfriends.uk.com
Website: www.familyfriends.uk.com
FAMILY FRIENDS DONATION FORM
Please complete the appropriate sections below and e-mail to: info@familyfriends.uk.com or return
to: Family Friends, 73 St. Charles Square, London, W10 6EJ
Making a donation:
Please choose one of the following:
□ Online Bank Transfer
□ A Cheque made payable to Family Friends
□ A Regular Donation by Standing Order
□ Payroll giving (GAYE)
Amount donated £…………………………
□ I do not wish my name to appear on any published list of donors
TITLE: ................ FIRST NAME: ….....………………...…. SURNAME: …………………………….....
ADDRESS ……………………………………………………......………… POSTCODE …………........
TEL.NO: ……………………….........
E- MAIL: …………………………………………
GIFT AID DECLARATION
I would like Family Friends to treat as Gift Aid all donations made since April 2000 and any that I make from the
date of this declaration until I notify them otherwise.
I confirm that I pay income tax or capital gains tax in the UK equal to the amount of the tax that you will reclaim. I
agree to notify you of any change of address while this Gift Aid Declaration is still in force.
Date……………....……
STANDING ORDER FORM
Pay to Family Friends
Bank: CAF Bank Ltd Sort code: 40-52-40 A/C No: 00014303
Your Account to be Debited
Name of your Bank or Building Society: ....……………………………………………………………….
Address: ……………………………………………………………………………………………………..
Account Name: ………………………………… Sort code: …………………. Account No: ……………………
Payment Instructions:
Please pay on ………………………
Annually □
Quarterly □
Monthly □ (Please tick as appropriate)
Amount in words …………………………………......
Signature …..............................………………………….
Date…...............
Family Friends is a charity registered with the Charity Commissioners under Charity Number 1028214
and a company limited by guarantee and registered in England and Wales under company number 02863464
Registered office: 73 St. Charles Square, London W10 6EJ