SHIVA Charity Sri Lanka Nursery School Monthly sponsorship Standing Order Form (Please print & post)

I WOULD LIKE THE SCHOOL NAME TO BE

"……………………………………………..Nursery School"

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

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

e-mail address ( for feedback of information, if appropriate)

*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 72-00-05 Account 32206185

* The Sum of £60./£……...... (delete as appropriate)

* 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 the above form and post to:

Bob Uppington, SHIVA charity , 19 Daventry Rd, Knowle, Bristol BS41DQ

 

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 or any other donations as GIFT AID donations.

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