St Margarets - Standing Order Form

To the Gift Aid Secretary, St Margaret's Church PCC, Palmers Cottage, Starrock Lane, Chipstead. CR5 3QD

I promise to make a regular planned contribution to the work and mission of the church of £ __________ each month/quarter/half-year/year starting on ________________ (date)

Full name	_______________________________________
Address	_______________________________________ _______________________________________
Post Code	_____________ (Post code is required for tax relief

I want the church to reclaim tax on all my donations
I note that I need to pay an amount of income or capital gains tax that at least equals the tax reclaimed from my donations (28p for every £1 donated)
Please notify the Gift aid secretary of changes in address
If your situation changes please inform the Gift Aid Secretary to stop reclaiming tax

Signed	_______________________________________
Date	_______________________________________