Making regular donations to

   

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Support the Monks at the Meditation Centre

    (UK Charity Commission Registered No. 1105950)
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Originators ID            

   Please fill in Direct Debit Form
  Instruction to the Manager:
  Name of your Bank or Building Society:
 
  Address:
 

Postcode                

  Name(s) of Account Holder(s)

 

  Bank/Building Society Account No.

               

  Bank Sort Code

    ---     ---    
   I wish to start a Direct Debit
Amount £5   

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£10   

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other
£___ 		  

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Frequency Monthly   

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on day ___ of
each month 		Yearly   

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   Please fill in your name and details here

Title
(Mr/Mrs/Ms/Miss/Dr)

   First Name  

SurName

 

Address

 
 

Postcode

Telephone

E-Mail

 

 Please pay Buddhist Aid Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Buddhist Aid and , if so, details will be passed electronically to my bank or Building Society.

  Signature(s):________________________

  Date:___/___/2004

  Note: Banks and Building Societies may not accept Direct Debit instructions for some types of accounts.

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for tax free Giving

  If you are a UK taxpayer, please tick to join the Gift Aid scheme.. The value of your donation can increase by nearly a third under the Gift Aid Scheme — at no additional cost to you!
  I am a UK taxpayer and I want all donations I've made to Buddhist Aid since 1st September 2004 and all donations in the future to be treated as Gift Aid donations until I notify you otherwise.

   

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Buddhist Aid Trust and Mogok Vipassana Centre: 13 Redstart Close London E6 5XB ; Tel. 020 7511 8189