Gift Aid Form

Standing Order Donations

to

Satipanya Buddhist Trust

Registered Charity

No. 1116668

The Treasurer, Satipanya Buddhist Trust,

Whitegrit, Minsterley, Shropshire SY5 0JN

If you would like us to reclaim tax on your donation (28p for every £1 you give) under the Gift Aid scheme, (UK tax paid on income, capital gains and savings all qualify),

please complete and sign the form below and return it to the above address.

Name:

Address: (Please print clearly.)

Post Code:

Email

I want my regular standing order donations to be Gift Aid donations

and ask the Satipanya Buddhist Trust to reclaim the tax due.

I confirm that I am a UK tax payer and that I have paid an amount of tax

that at least equals the amount to be reclaimed on this donation.

Signed: ............................................... Dated: ...............................

This applies to all my donations made in the previous six years* / made from the ..............................*(insert date if more recent). *(Delete if not applicable.)

I will inform you of any change of circumstance.

Thank you for your kind donation.