New Standing Order

Standing Order for St Marylebone Parish Church
Personal Details
Title*
Legal Name*
Address*
Postcode*
Tel*
Email*
Regular Gift Amount*
Date of first Payment*

DayMonthYear
Frequency*

MonthlyQuarterlyBiannuallyAnnually
For how long?

Until further notice.
Or for how many....
Months / Years
Bank or Building Society
Bank or Building Society Name*
Address*
Postcode*
Account Holders Name*
Account Number*
Sort Code*
Signature*

Clear
Date*

DayMonthYear
Gift Aid

By using Gift Aid, you can increase the value of your gift to the Charity, and, if you are a higher rate taxpayer, you can claim additional tax relief on your self-assessment tax return.
Please treat all gifts of money that I make today and in future to St Marylebone Parish Church as Gift Aid donations.
Date*

DayMonthYear
I am a UK taxpayer and would like the charity to treat all future donations and donations I have made for the four years prior to this tax year, until I notify you otherwise, to be tax effective under the Gift Aid scheme. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax the charity reclaims on my gift/s in the appropriate tax year.

Data Protection Statement: By completing and submitting this form you give your consent to St Marylebone Parish Church processing your personal data in accordance with the General Data Protection Regulation (201to support their fundraising activities personal data will not be share with other organisations. If you do not wish to receive updates or other communications, and wish to withdraw your consent at any time, please email ashleynixon@stmarylebone.org

Registered Charity Number: 1129435

St Marylebone Parish Church, 17 Marylebone Road, London, NW1 5LT
Should be Empty:

Standing Order for St Marylebone Parish Church

Personal Details

Bank or Building Society

Gift Aid