BLEAKHOLT ANIMAL SANCTUARY
STANDING ORDER FORM


To: The Manager

................................................................................................. Bank

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(Please insert your Bank's full address above)

Please pay to Royal Bank of Scotland, Ramsbottom, Lancashire (Sort Code 16-29-23) for the credit of Bleakholt Animal Sanctuary (Account No. 10093808) the sum of £...................... on the ..............................day of ...................... 20...... and the same payment anually/quarterly/monthly/weekly *(delete as appropriate) thereafter until further notice.
My Bank details are as follows (block letters please):

Branch Sort Code: ............... - ............... - .................

Account No: .................................................................

Account Name: ...........................................................

Dated: .........................................................................

 
Signed: ........................................................................

My Name:.....................................................................

My Address:.................................................................

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If you are a UK taxpayer, through "Gift Aid" we can claim back the tax you have paid on your donation. This means that for every £10.00 donated we can claim an additional £2.80! All you need to do is complete a "Gift Aid Declaration".

Please print off and return to:
The Treasurer
Bleakholt Animal Sanctuary
Bury Old Road
Edenfield
Ramsbottom
Lancashire
BL0 0RX