Standing Order

MayFlower Sanctuary Membership Form
Please complete this form on the screen, print off a copy and return it to us at The Mayflower Sanctuary, Narrow Lane, Bawtry, Doncaster. DN10 6QJ. Alternatively if you wish to pay by cheque you can print a blank form and handwrite your details, fill in the top part of the form and tick the correct box, with a cheque payable to Mayflower Sanctuary.
Your name:
Your address:
City:
Postcode:
Telephone:
 Your e-mail address:
Pay to:- HSBC Bank 1 High St Doncaster South Yorkshire DN1 1EE. for the credit of  "Mayflower Sanctuary "  Account No:72225557   Sort Code: 40-19-20
Per Person Membership
£10.00
 Tick here Family Membership £20.00 Tick Here

(* delete as necessary, £  ? indicates please specify other amount)  
 
yearly until further notice and debit my account. My bank details are:

Account No:

Sort Code:

 - -

Signature:

  ......................................................

Start date:

 ......../ ......../ ........
Name of bank:
Address of bank:
City:
Postcode:
GIFT AID - make your donation worth more at no extra cost to you!

If you are a taxpayer, for every £1 you donate we can claim an extra 28p from the taxman. All you need to do is check the box next to the declaration below. It's as easy as that.

Gift Aid: 

"I would like the Mayflower Sanctuary to reclaim the tax on all donations I have made since 1th April 2000 and all future donations I make to the charity until further notice, at no extra cost to myself"

In order for the Mayflower Sanctuary to reclaim the tax you have paid on your donation(s), you must have paid income or capital gains tax (in the UK) equal to the tax that will be claimed from the Inland Revenue (currently 28p for each £1 you donate). Please untick this box if you are not eligible to pay Gift Aid

Please return this form to:

Mayflower Sanctuary, Narrow Lane, Bawtry, Doncaster. DN10 6QJ


Supported by Animals in Need. Registered charity number:- 1082052