ST MARY'S IN THE MARKETPLACE, STOCKPORT
DONATION FORM
Please return to: The Treasurer, St Mary’s Parochial Church Council,
Rectory Office, St Mary’s Rectory, 24 Gorsey Mount Street, Stockport, SK1 4DU.
Surname _________________________________________________________ Title _____________
Forenames _________________________________________________________________________
Address ___________________________________________________________________________
_______________________________________________________ postcode __________________
Daytime Tel : ________________________ email address __________________________________
DECLARATION FOR TAX RECLAIM PURPOSES
please complete if you wish to make your donation by Gift Aid
I wish Gift Aid to apply to my donation and I confirm I will pay in this tax year an amount of Income Tax and/or Capital Gains Tax at least equal to
the amount that all charities including Churches) and Community Amateur Sports Clubs will reclaim against my gifts to them this year. I
understand that other taxes such as Council Tax and VAT do not qualify.
Signed
Date
FOR A SINGLE GIFT
I wish to make a single donation of £ _____________ and enclose my cheque payable to “St Mary’s PCC”.
I wish to make my donation by Gift Aid
FOR A REGULAR GIFT – please complete Bank/Building Society instructions below
I wish to make a regular donation – details as shown below. I wish to make my donation by Gift Aid
INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY TO PAY A STANDING ORDER
To ______________________________________________________ Bank Building Society
Address _____________________________________________________________________
________________________________________________ Postcode ____________________
Name of Account holder(s) ______________________________________________________
Bank/Building Soc A/c No ___________________Branch Sort Code
Please pay St Mary’s PCC - NATWEST, Stockport Underbank Hall Branch,
10 Great Underbank, Stockport, SK1 1LL
Branch Sort Code 01 | 08 | 38
_____|_____|_____
Account: 01935666
Frequency and amount (delete as applicable)
Monthly
£
Quarterly
£
Annually
£
Date Payable from
20
Signature(s): ________________________________
Date _________________
PLEASE DO NOT SEND DIRECTLY TO YOUR BANK/BUILDING SOCIETY