If you would like to make a donation to the South Essex Wildlife Hospital, please print out this form and post it to SEWH. You can complete the form on-screen and then print it out and sign it, or print out the blank form and then complete it, whichever you prefer. You can either send a cheque or postal order or fill in the standing order form below
Title
Forename
Surname
House Name or Number and Street
Address(2)
Town or City
County
Postcode
Telephone
Email
INSTRUCTION TO YOUR BANK/BUILDING SOCIETY
To the Manager
Bank/Building Society Name
Address(1)
Address(2)
Postcode
Sort Code
Name(s) of account holder(s)
Your account number
Please pay South Essex Wildlife Hospital the sum of £
per
month
quarter
year
(please select as appropriate) until further notice.
The South Essex Wildlife Hospital bank details are:
Lloyds TSB Bank plc, 34 High St, Grays, Essex, RM17 6LX
Account No:_________________ ; Sort Code: 30-93-61
I/We enclose a Cheque/Postal order for the sum of £
Please make all cheques or Postal orders payable to South Essex Wildlife Hospital
Use Gift Aid and you can make your donation worth more. For every pound you give to us, we get an extra 28 pence from the Inland Revenue. Please select one of the boxes opposite.
Yes, please treat all my donations from 6 April 2000 and until further notice as GIft Aid. I confirm I pay an amount of income tax/and or capital gains tax at least equal to the tax that SEWH will reclaim on my donations in the tax year.
No, I do not pay income tax or capital gains tax in the UK.
THANK YOU
Please return to: South Essex Wildlife Hospital, P.O. Box 8, Grays, Essex, RM17 5FF
Tel 01375 893893.
The South Essex Wildlife Hospital is a registered charity ( number 1093545 )
