YOUTH FOR CHRIST NORTH EAST

Print out this form, complete and send to: YFC North East
Youth Resource Centre, Oxford Street, Whitley Bay, Tyne & Wear, NE26 1AD.

STANDING ORDER FORM

Name:
Address line 1:
Address line 2:
Town:
Country:
Post Code:
Telephone:
Email:

YOUR BANK DETAILS

Name of Bank/Building Society:
Address of Bank line 1:
Address line 2:
Town:
Post Code:

Sort Code:
Account Number:
Account Holder:

Please debit my/our account:

£ ______ / annum (minimum £50)

£ ______ / quarter (minimum £20)

£ ______ / month (minimum £10)

Commencing on 1 st / 15 th (please delete one)_______________ (month) 200 __
and until further notice.

The amount is to be paid to Youth for Christ North East, Yorkshire Bank PLC, Pilgrim Street, Newcastle. Sort Code: 05-06-23 Account number:

SIGNED:
DATE:

GIFT AID DECLARATION

I am a UK tax payer and want YFC North East to treat all donations I make as GIFT AID DONATIONS. I will notify YFC North East of any changes in my tax circumstances and/or of I change my address.

SIGNED:
DATE:

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