Standing Order Request Form

Please fill in your Name and address.
If you are a Tax Payer, we can claim back 25% of what you donate. Please request an additional form for Gift Aid.
NOTE: A Standing Order puts you in total control of your donation. You can increase, decrease or cancel at anytime.
To compare a Standing Order to a Direct Debit. See Here

Title:
Usual name:
Surname:
Address 1:
Address 2:
Address 3:
Postal Code:
I would like a Gift Aid form:
Please complete all fields