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Thank you for choosing to make a regular gift by Direct Debit to 
Scottish Autism.

We seek to maximise the individual potential of all those on the autistic spectrum and your regular gift will help us to achieve this aim.

Please complete the details below and press 'Continue'  when finished

(Items marked with * are mandatory)


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.

Your Details

Your email address will let us send you a receipt without incurring further costs.

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 Scottish Autism
Image - Direct Debit

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

If there 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.

If an 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 society.

If you receive a refund you are not entitled to, you must pay it back when Scottish Autism asks you to. 

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Gift Aid

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:

Other Information

Please tick all communications you would like to receive:

Data Protection: Scottish Autism complies with the General Data Protection Legislation and the Privacy and Electronic Communications Regulation (2003). Your personal data is held securely and will only be accessed by those authorised to do so and used for the purposes for which you have provided us the information. For full details, please view our privacy policy. At any time you can request to be removed from our database by contacting us on 01259 720044 or emailing autism@scottishautism.org

If "Other" Please Specify Here
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