By proceeding beyond this point you are confirming that you are the account holder and the only person required to authorise Direct Debits from this account.
If you are not or more than one person is required to authorise Direct Debits from this account please do not continue with this web page but instead click here and print out a paper mandate for completion.
Must be where the payment account is registered.
Your Direct Debit Donation
Service User Number: 556488
Banks and Building Societies may not accept Direct Debit Instructions for some types of account
The payment will appear on your statement as
Guarantee is offered by all banks and building societies that accept
instructions to pay Direct Debits.
are any changes to the amount, date or frequency of your Direct
Debit Scottish Autism will notify you 10 working days in advance of
your account being debited or as otherwise agreed. If you request
Scottish Autism to collect a payment, confirmation of the amount and
date will be given to you at the time of the request.
error is made in the payment of your Direct Debit by Scottish Autism
or your bank or building society you are entitled to a full and
immediate refund of the amount paid from your bank or building
receive a refund you are not entitled to, you must pay it back when
Scottish Autism asks you to.
cancel a Direct Debit at any time by simply contacting your bank or
building society. Written confirmation may be required. Please also
Boost your donation by 25p of Gift Aid for every £1 you donate
Gift Aid is reclaimed by Scottish Autism from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Please notify Scottish Autism if you want to:
- cancel this declaration.
- change your name or home address
- no longer pay sufficient tax on your income and/or capital gains
In order to Gift Aid your donation you must tick the box below:
We’d be delighted to let you know of future fundraising activities which might be of interest, as well as information on how your donation helps people with autism, and their families, in Scotland. This includes a quarterly newsletter and e-zines. Please choose from the options below so we know how you would like us to keep in touch.
You can unsubscribe at any point by contacting: firstname.lastname@example.org
We will always store your personal details securely. We will use them to communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. We will only allow your information to be used by suppliers working on our behalf and we will only otherwise share if it required to do so by law. For full details, please visit http://www.scottishautism.org/privacy-and-cookies
If "Other" Please Specify Here