Y-Care International

1 Your Direct Debit

Please confirm that you hold a UK Bank/Building Society Account and are the only person required to authorise debits from this Account.

Yes

No

Please download a paper mandate for completion.

*I wish to donate:

£5

£10

£25

£50

Other

*Account Name:

*Account Number:

*Sort Code:

*Frequency:

*Payment day:

Direct Debit will start on the day selected, at least 20 days from today.

Service User Number: 415431.
Banks and Building Societies may not accept Direct Debit Instructions for some types of account
Payment will appear on your statement as 'Y Care International'.

Maximise the impact of your donation with Gift Aid by 25p of Gift Aid for every £1 you donate at no extra cost to you

Gift Aid is reclaimed by Y Care International from the tax you pay for the current tax year. Please add your complete address 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.

Yes: I would like to Gift Aid my donation and any donations I have made in the past 4 years and all future donations to Y Care International. I am a UK taxpayer and I understand that if I pay less income/capital gains tax than the amount of Gift Aid claimed on all my donations in the tax year in which they are received, it is my responsibility to pay any difference and that I must notify the charity of any changes to my tax status, including changes to my name or address.

1 Your Direct Debit

2 Your Details

*Title:

*First Name:

*Surname:

*Address 1:

Address 2:

Town:

County:

*Postcode:

*Country:

*Email Address:

We will email you confirmation of your donation

Home Telephone:

Mobile Telephone:

Please provide your mobile number if you are happy to be contacted by phone

1 Your Direct Debit

2 Your Details

3 Other Information

*How did you hear about us ?

I’d like to receive updates by email

I’d like to receive updates by post

I’d like to be contacted by telephone

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