Human Relief Foundation

STANDING ORDER FORM

Please complete this form online, print it (by clicking 'Print' at the bottom of the form) and send it to:
HRF, FREEPOST BD3125, PO Box 194, Bradford, BD7 1BR, UK

If you do not have a printer, please contact us at donate@hrf.org.uk and request that we post you out a copy of the form (please include your address in the email).


Name:
Address:
Postcode:
Country:
Tel/Mobile:
Email:

*For Office use only*
Address:
ID:...............	Date:...............
SID:...............	Page:...............
CA	CH CR PO
Total Amount ..........................
SNT AW	EX NGA NA
Receipt No ..........................

Standing Order Details
Sponsorhip of/Donation to:		Amount to Sponsor/Donate each month:

General Donation to the Orphan Sponsorhip Programme		Enter amount: £

GIFT AID DECLARATION: I am a UK tax payer and I wish Human Relief Foundation to reclaim on all donations I make hereafter until further notice. I understand that I must pay income tax at least equal to the amount reclaimed.

Signed ....................................................................................... Date 09/09/2010

Donation by Standing Order
Dear Bank Manager,
Please debit my/our account with the total amount of £ £0.00
Each month starting from to
Or until further notice.

To the benefit of: Human Relief Foundation
HSBC Bank Plc, 47 Market Street
Bradford, BD1 1LW, UK
Sort Code: 40-13-15, Account Number: 94 17 62 94

ID: (for office use only).................................... REF: ............

Your Bank Details
Your Bank:
Bank Address:
City
Postcode:
Sort-Code:
Account Number:

Signed......................................................................................................................... Date 09/09/2010