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60 Market Street
Ashby-de-la-Zouch
Leics. LE65 1AN
Tel: 01530 560940
Email: ayfc@bigfoot.com

Charity No. 1058434


With your support we can reach more young people.
Every gift makes a huge difference to the work we do.

I would like to help more young people by giving monthly.


STANDING ORDER AUTHORITY


To the manager of ............................................................. bank:
Please pay Ashby Youth for Christ, Lloyds TSB Bank, 44 Market St, Ashby-de-la-Zouch, Leics.
Sort Code: 77 15 13 Account Number: 14239168
The sum of £............... on the ....... day of ................ 200... and monthly / quaterly / annually thereafter from my/our bank.

SIGNED ...........................................................................
DATE ............................................

YOUR BANK DETAILS:
Bank Name ...................................
Bank Address ................................
.....................................................
.....................................................
Sort Code .....................................
Account No. ................................
YOUR DETAILS:
Name .........................................
Address ......................................
.....................................................
.....................................................
Tel. .......................................
Email ......................................

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Gift Aid Declaration
"I am a UK taxpayer and want Ashby Youth for Christ to reclaim tax on all my donations from 06/04/00 onwards. I understand that I must pay Income Tax or Capital Gains Tax equal to the tax that can be claimed by Ashby Youth for Christ in that period. I will advise Ashby Youth for Christ if my situation changes."

Full Name .....................................................     Signed .....................................................
Date ...................................

PLEASE RETURN THE FORM TO THE AYFC OFFICE