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Instruction to your Bank or Building Society to pay by Direct Debit:

Christians Against Poverty
Jubilee Mill, North Street, Bradford BD1 4EW
Originator's Identification Number: 837835
Today's date: 17 Apr 2014

This Direct Debit instruction is:

Please pay Christians Against Poverty the sum of £ every month. *

Please note: it takes 14 days for us to process your Life Changer gift.

In order to set up a Direct Debit instruction on-line, you must be the account holder of a personal bank or building society account. If you are not the only required signatory on your account or you would rather send us a paper version please click here. If you have any queries about this form then please contact us on 01274 760761 or email supporterrelations@capuk.org.

Instruction to your bank or building society:
Please pay Christians Against Poverty 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 Christians Against Poverty and, if so, details will be passed electronically to my bank/building society.

Please note: This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit, Christians Against Poverty will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Christians Against Poverty to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by Christians Against Poverty or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when Christians Against Poverty asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

giftaidGift Aid Declaration

You can make every gift to Christians Against Poverty worth 25 per cent more, if you are a UK taxpayer. Just complete this Gift Aid Declaration and we'll do the rest. The tax reclaimed will be used to help fund Christians Against Poverty's work.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

Please treat as Gift Aid donations all qualifying gifts of money made:

Please notify CAP if you want to cancel this declaration, change your name or home address, or no longer pay sufficient tax on your income and/or capital gains.

Please confirm your details

Direct Debit Amount:

£ every month

Direct Debit start month:

Direct Debit date:

Gift aid status:

Sort Code:

Account number:

Account holder name:

Account holding branch:

Your supporter ID (if specified):

Your name:

Address:




Postcode:

Phone number:

Email address:

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