To: The Animal House Rescue, 4 Kintore Croft, Bartley Green, Birmingham, B32 4JJ
Charity number: 1111314

STANDING ORDER MANDATE

Mr.\Mrs.\Other ______________________________________________________________

Address __________________________________________________________________

__________________________________________________________________________

__________________________________ Post Code _____________________________

To ____________________________________________________ Bank\Building Society

Bank Address ___________________________________________________________

_________________________________ Post Code ____________________________

Sort Code ___\___\___ ------------ Account No. ___________________________________

Account Name ___________________________________________________________

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Please pay THE ANIMAL HOUSE RESCUE

Sort Code 20-08-44 --------------- Account No. 60694169

The sum of £____________ each month starting on ____/____/20___ and continuing on the same day each month until further notice.

Signature _________________________________________ Date ____\____\____

Signature _________________________________________ Date ____\____\____

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Gift Aid - Do you pay Tax? If so, The Animal House Rescue can claim back the tax on all donations you make which is currently worth 28p in every pound you donate. Please make sure you have completed the Gift Aid Form below:-

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I am a taxpayer and I want this and any other donations to be treated as Gift Aid Donations. I will remember to notify the Charity if I not longer pay income or capital gains tax equal to the tax you reclaim on my donations (28p for every £1 given).

Full Name ____________________________________________

Signature ____________________________________________