Your name and address ................................................................................................
....................................................................................................................
SHIVA Charity Child Sponsorship Form (£5 per month)
Your Bank/ Building Soc. name and
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 £............ Amount in Words ......................................................
Starting on ......./....../...... and on the same day each month until further notice
SIGNED............................... DATE ......./......../....... Bank Account Number ...........................
Sort Code ......................... Account in the name of ..................................................
Please tick here if you are a UK taxpayer and would like your donations Gift Aided (adding tax free giving).
SIGNED.......................................... email address (if you have one)..........................................
Post completed form to: Bob Uppington (SHIVA Charity) 19 Daventry Rd., Knowle, BRISTOL BS4
www.shivacharity.com email bob@shivacharity.com Regd. charity 1045197
PRINT THIS FORM AND SEND TO SHIVA CHARITY 19 DAVENTRY RD BRISTOL BS41DQ
