The Compassionate Friends
Please complete in BLOCK CAPITALS
Title
Forename(s) ___________________Surname:_________________________________
Address___________________________________________________________________________
Post code
_________________________
CAF REF FS2944
Please complete payment method A or B or C or D and circle letter as appropriate:
A.
I WISH TO MAKE A REGULAR DONATION BY DIRECT DEBIT
Please complete the direct debit mandate overleaf.
B.
BY BANK TRANSFER
I confirm I have made a transfer of £____________by BACs to The Compassionate Friends at the
Charities Aid Foundation Bank ; A/C No. 00087690: sort code 405240
Signature ___________________________________________________ Date____________________
C.
BY CHEQUE and enclose a cheque for the sum of £_____________
made payable to The Compassionate Friends.
D.
BY CREDIT/DEBIT CARD I authorise you to debit my account with the amount £_________
Card type MASTERCARD / VISA / DELTA / SWITCH / OTHER ________________
Cardholders Name
Card Number
Start Date
______________________________________
Expiry Date
__ Switch Card Issue No.
____Security Code
_____
Gift Aid Declaration
Please complete this section if you are a UK taxpayer.
Using Gift Aid means that for every pound you give, we get an extra 25 pence from the Inland Revenue,
helping your donation to go further. This means that £10 can be turned into £12.50 just so long as
donations are made through Gift Aid. Imagine what a difference that could make and it doesn’t cost you a
thing. So if you want your donation to go further, Gift Aid it – simply tick the statements below, sign and
date, and return it with your payment details.
Please treat as Gift Aid donations all qualifying gifts of money made. Please tick all boxes you wish to apply:
□Today
□In the past 4 years
□In the future
□ I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6
April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur
Sports Clubs (CASCs) that I donate to will receive on my gifts for that tax year. I understand that other
taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every
£1 that I give.
Signature____________________________________________ Date ___________________________
I WISH TO MAKE A REGULAR DONATION BY DIRECT DEBIT OF
£ _______________quarterly / annually. Commencing ___________20_________
Instruction to your Bank or Building Society to pay by Direct Debit
Service User No.
CAF, KINGS HILL
WEST MALLING,
KENT. ME19 4TA
2
7
4
4
0
4
CAF, Kings Hill, West Malling, Kent, ME19 4TA
CAF Ref No. FS2944
Name(s) and address of account holder(s)
Mr/Mrs/Miss/Ms
FOR CAF OFFICIAL USE ONLY – This is not part of the
instruction to your Bank/ Building Society.
Date of first payment on or after;
Address
/
Postcode
Bank/Building Society account number
Branch Sort Code
_
_
/
Instruction to your Bank or Building Society.
Please pay CAF Re The Compassionate Friends
debits from the account detailed in this instruction
subject to the safeguards assured by the Direct
Debit Guarantee. I understand that this instruction
may remain with CAF Re The Compassionate
Friends and if so, details will be passed
electronically to my Bank/Building Society.
Signature
Name and full postal address of your
Bank/Building Society
To: The Manager
Date:
Address:
Postcode
Banks and Building Societies may not accept Direct Debit Instructions for some type of accounts.
This guarantee should be detached and retained by the Payer
The Direct Debit Guarantee
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

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This guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit, CAF Re The Compassionate Friends will
notify you ten working days in advance of your account being debited or as otherwise agreed. If you request CAF Re
The Compassionate Friends to collect a payment, confirmation of the amount and date will be given to you at the time
of the request
If an error is made in the payment of your Direct Debit, by CAF Re The Compassionate Friends or your Bank or Building
Society, you are entitles to a full and immediate refund of the amount paid form your bank or building society – If you
receive a refund you are not entitles to, you must pay it back when CAF Re The Compassionate Friends asks you to
You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Written confirmation may be
required. Please also send a copy of your letter to us.
Please return the whole completed application form with your payment to:
The Compassionate Friends, 14 New King Street, Deptford, London SE8 3HS.
Tel: 0845 120 3785 info@tcf.org.uk www.tcf.org.uk
Charity no: 1082335
Company no: 04029535