Gift for Nicaragua Donation Form

(To print this form, click on File/Print or the 'Print' button in the toolbar at the top of your browser)

Name and Address.............................................................................................................

.....................................................................................................................................

Tel:.....................................................e-mail:.................................................................

NSC is a charity. Inland Revenue will give us 25 pence for every £1 you give us so, if you are a UK tax payer read the text below, sign and date. If you are not, please tick the box. Thank you.
NB. What you pay in income tax or capital gains tax must be equal to or more than the amount we will claim from your donation.

I would like to Gift Aid all donations I’ve made to NSC over the last six years and all donations in the future until I notify you otherwise.

 ………………………………………….… (sign) .……………………(date)
OR I am unable to Gift Aid my donations (please tick) 


By Cheque. I enclose a donation of £............to buy a Gift or Gifts for Nicaragua. (cheques payable to Nicaragua Solidarity Campaign).
Please send me .........cards which I can give to show I have made a donation.
 

By Standing Order (use this form):

To the Manager: (Your bank/building society's name and address)

.............................................................................................................................................


Account Name (Name of your bank account) ...............................................................

Account Number.............................................

Sort Code (Your bank sort code) ............/........./.........

Please pay Nicaragua Solidarity Campaign......£.....................

every month/year starting on ........./........./.........(date) until further notice.

Signed....................................... Date................................................

Credit A/C of: Nicaragua Solidarity Campaign,
Unity Trust Bank, 4 The Square, 111 Broad St, Birmingham B15 1AR
Sort Code 08-60-01 Account no. 50724556

Return to NSC, 86, Durham Rd, London N7 7DT    020 7561 4836   nsc@nicaraguasc.org.uk