Standing Order Form

For regular gifts to Link Romania, fill in the details and either submit by email or download the form and print it out.

Your Firstname: *

Your Lastname: *

Your Email Address:

Your Tel. No.:

Your Address: *

Your Post Code: *

Your Account Details

Bank: *

Bank Address: *

Post Code: *

Sort Code: *

Account No.: *

Account Name: *

Please debit the above account with the sum of £: *

Date of first payment: *

Please include day, month and year

Frequency of payments: *

Monthly

Quarterly

Annually

Duplicate Payment:

Please pay the same to Link Romania's a/c 10447811, Sort Code 20-98-74

Gift Aid Declaration

If you are a UK Tax Payer, please fill in the following Gift Aid Form so that your gift can be increased by a refund to us of the basic tax which you have paid. This costs you nothing but benefits Link Romania greatly.

Declaration :

I tick this box to allow Link Romania to treat all donations I have made since 6th April 2003 and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid Donations

Date Submited: *

Standing Order Form

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