REGISTERED CHARITY NO 1109726
TRUSTEES - PHIL BAILEY, GEOFF BAILEY, JOSEPH PETTITT, ROGER OSBORNE
SUPPORTERS FORM
YOUR DETAILS
Title ............
First Name .........................................
Surname .........................................
Address .....................................................................................................................................
.....................................................................................................................................................
.............................................................................................. Postcode ...................................
Telephone Number ......................................................................................................................
Email address .............................................................................................................................
YOUR GIFT
Please use this gift for:
Covenant College
Covenant College Farm
Christian Education Fund
for the training of Pastors
for farm development &
agricultural projects
for the support of Community
Schools
Street Boys, Lusaka
Street Boys Farm,
Lusaka
Other (please specify)
.............................................
Regular gift:
I wish to make a regular donation of £
Monthly
I will give by:
starting on (date) ......................................
Quarterly
Annually
sending a cheque
standing order
(payable to Zambian Mission Support)
(please complete bank details below)
Single gift:
I wish to make a single donation of £
Cheques payable to Zambian Mission Support
STANDING ORDER
Bank details:
Bank ...........................................................................................................................................
Address .....................................................................................................................................
.............................................................................................. Postcode ...................................
Bank sort code
-
-
Account number
Account name ..............................................................................................................................
Please pay Zambian Mission Support, Barclays Bank plc, Hemel Hempstead Branch, The Dacorum Group, 11 Bank
Court, Hemel Hempstead, Hertfordshire HP1 1BX. Sort Code: 20-39-07, Account Number: 10072761
Signature ................................................................................... Date ....................................
GIFT AID DECLARATION
Using Gift Aid means that for every pound you give, we receive an
extra 28 pence from the Inland Revenue.
If you would like your donation to go further, Gift Aid it.
I would like all donations I’ve made to Zambian Mission Support since
06 April 2000 and all donations I make in the future to be Gift Aid until I notify you otherwise.
Signature ................................................................................... Date ....................................
To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in
the tax year. Please remember to tell us if you change your address, or if your tax situation changes.
86 Sunnyhill Road, Hemel Hempstead, Hertfordshire HP1 1TA tel: 01442 218101
email: info@zambianmissionsupport.org web: www.zambianmissionsupport.org