_______________________________________________
To donate to the Kutoa Trust please print out this form, complete it as appropriate, and send it to the Kutoa Trust at 89 College Road, Fishponds, Bristol B16 2HP.
I enclose a donation of £ ________ for the Kutoa Trust.
I wish to donate £ ________ per month/annum.
I am a UK taxpayer and want my donations to be Gift Aid donations from now until I notify you otherwise.
Name___________________________________________
Address_________________________________________
_______________________________________________
__________________________ Postcode______________
Signed___________________________ Date___/___/___
_______________________________________________
Bank Standing Order
To __________________________Bank Plc
____________________________Branch
Address________________________________
______________________________________
_______________________Postcode_________
Bank account no.__________________________
Sort code________________________________
Please pay
Lloyds TSB Bank, Downend Bristol Branch
Box 2, BX1 1LT
Kutoa Trust A/C No.02041496
Sort code: 30-98-06
the sum of £_______ per month/per annum commencing on ___/___/___ and thereafter monthly/annually until I give notice of cessation or change.
Name _____________________________________
Address____________________________________
__________________________________________
_______________________ Postcode____________
Signed______________________ Date___/___/___