
Donation Form
Please write on the form whether the donation is for the
work of NSC or for the floods in Nicaragua.
Name and Address.............................................................................................................
.....................................................................................................................................
Tel:.....................................................e-mail:.................................................................
NSC
is now 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 £................... (cheques payable to
Nicaragua Solidarity Campaign)
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