SHIVA Charity Monthly sponsorship Standing Order Form

* Name of child(ren) to sponsor:

*Your name and address ..................................................................

................................................………….

*Your Bank/B. Society name and branch address ..................................................................

................................................…………..

Alliance & Leicester Commercial Bank PLC (BOOTLE)

For the credit of Schools Helping India Voluntary Association (SHIVA)

Sort Code 09-01-55 Account 32206185

* The Sum of £..….

* Amount in words ………………………………………….

* Starting on ....../....../...... and on the same day each month until further notice. *Signed............................. Date...../....../......

*Your bank account number.................................

Sort Code ……………..

*Your account in the name of

............................................................

*Please complete and post to: SHIVA charity , Cholwell House, The Batch,Butcombe, Bristol BS40 7UY

ADD 28% GIFT AID! TAX FREE GIVING: Please sign and date below if you are a UK taxpayer and would like SHIVA Charity to treat these monthly donations as GIFT AID donations.

SIGNED…………………………………………………….. DATE ……. /…../……