Standing Order Mandate

Beneficiary Details:
Bank: Barclays Bank, The Wellsprings, Bolton, BL1 1BY
Recipient Name: Ummah Welfare Trust
Sort Code: 2 0 - 1 0 - 71 ,  A/C Number: 9 0 6 8 2 7 5 6
Account to be Debited:
Sort Code:       A/C No.: 
Name of A/C Holder:
Bank Name & Address:
        Post Code: 
Payment Details:
Amount of Payment:
Amount in Words:

FIRST Payment:  / / * LAST Payment:  / /
(Or immediately thereafter)   * Delete (Or continue until further notice)
 
Paid (tick one):

Weekly  Monthly  Annually
 
Sign: __________________________________  Date: ____________________
Gift Aid (UK Residents only):
  I want Ummah Welfare Trust to treat all donations I have made from the 6th April 2000 to this date and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations, which is 28% of all donations made by me to Ummah Welfare Trust. I understand to qualify for Gift Aid I am a UK Tax Payer and whatever I pay in income tax or capital gains tax must at least equal the amount Ummah Welfare Trust will reclaim.
Donation Details:
# Country Project Type (Z/S/L) £/GBP
1
2
3
4
Contact Details:
Name:    Tel.:
Address:
          Post Code: 
Email:
Please ensure you sign and date this copy before sending it to:
Ummah Welfare Trust, 204 Manningham Lane, Bradford, BD8 7DT