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DONATIONS to NORTH DORSET RAILWAY (CIO) Thank You for Your DONATIONS TO NORTH DORSET RAILWAY (CIO) We very much welcome and value donations of any amount to support the development of NDR which is a registered charity no. 1181851. Thank you for considering supporting us in this way. To make a donation please complete the relevant sections below and send to, or hand in at, the station address. Print Name: …………………………………………………………………… Email: ……………………………………………………………...…………... Home Address: ………………………………………………………………………………………………………………………………………………..……… ……………………………………………………………………………………………………………………. Post Code: …………..………………..…………. PAYMENT OPTIONS - STANDING ORDER. This is our preferred method for regular payments which you can set up yourself if you bank online, or by completing the Standing Order Mandate below and returning it to the Membership Secretary at Shillingstone Station. - BANK TRANSFER BACS payment- Account name: North Dorset Railway Sort Code: 30-97-77 Account number: 23290160 - CASH and DEBIT OR CREDIT CARD in the café at Shillingstone Station - CHEQUE made out to North Dorset Railway. (Please do not add the words ‘The’ or ‘Trust’ as the bank will not accept) OUR ADDRESS To donate please return the form with your payment to: The Membership Secretary, Shillingstone Station, Station Road, Shillingstone, BLANDFORD FORUM, Dorset, DT11 0SA GIFT AIDING MEMBERSHIP FEES AND DONATIONS Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by North Dorset Railway from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. In order to Gift Aid your donation you must tick this box below: I want to Gift Aid my donation of £______________ and any donations I make in the future or have made in the past 4 years to North Dorset Railway. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. Please notify North Dorset Railway 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 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. Signature: ……………………………………………………………………………………….……… Date: ………………..……………………………. Standing order mandate form on next page Thank you for your support STANDING ORDER MANDATE for regular donations to North Dorset Railway Name and address of your Bank or Building Society branch: To: The Manager, …………………………………………………………………………………………………………………………………………………… (Your bank name) Your bank address: ……………………………………………………………………………………………………………………………………………………………………………….. ………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………… Post Code: …………………………………… Your account name: ………………………………………………………………………………………………………………………………………………… Your Account Number Your Account Number Your Sort Code - - Reference …………………………………………………………………………………………………………………………………………… (your name) Instructions to your Bank or Building Society: Please debit my account above and pay to Lloyds Bank Smethwick, Ariel House, 2138 Coventry Road, Sheldon, B26 3JW Account name: North Dorset Railway Sort Code Account Number 3 0 - 9 7 - 7 7 2 3 2 9 0 1 6 0 The sum of £ ………………………………………. (insert amount) to be paid on 05/……………/…………………. (insert date of first payment) And thereafter every ………………………………… (insert ‘month’ or ‘year’) until I cancel this mandate with the bank. Signed …………………………………………………………….…………………………………. Date ………………………………………………………….. Print name ………………………………………………………………………………………….. Please return your completed form to the NDR Membership Secretary, Shillingstone Station, Station Road, Shillingstone, Blandford, Dorset DT11 0SA Thank you for your support .
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