Regular Gift Form
Thank you for supporting our ongoing work with homeless and vulnerable people. Genesis Trust is a registered charity in England and Wales. Charity No: 1154253. Company No: 8609938
Could you please give us some personal details? Your title
Mr
Mrs
Ms
Miss
Other
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
County
Post Code
Email
example@example.com
Date
-
Day
-
Month
Year
Date
Please choose the appropriate option below:
I have set up a standing order through my bank.
I would like Genesis Trust Bath to set up a standing order with my bank.
Could you please give us some donation details? What is the donation amount?
What is the frequency of the gift?
Monthly
Quarterly
Annually
What is the starting date of the gift?
-
Day
-
Month
Year
Date
What frequency would you like?
Monthly
Quarterly
Annually
What date would you like the gift to start?
-
Day
-
Month
Year
Date
What is your bank name?
What is your bank's address?
Street Address
Street Address Line 2
City
County
Post Code
What is your sort code?
What is your account number?
Please set up the above Standing Order and debit my account accordingly. Please sign below using your mouse.
I want to Gift Aid my donations and any donations I make in the future or have made in the past 4 years to Genesis Trust Bath. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.
Yes, please Gift Aid my donations
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