Hull Jame Masjid logo

Hull Jame Masjid

Standing Order Mandate

Please complete all sections in BLOCK CAPITALS

1Donor Details

First Name

 

Last Name

 

Email (optional)

 

Phone (optional)

 

2Payment Details

Amount (£)

 

Frequency

Reference to use

SO-SURNAME

(Replace SURNAME with your surname)

Start Date

 

3Beneficiary Bank Details

Bank NameLloyds Bank
Account NameJame Masjid
Sort Code309444
Account Number29286860

4Gift Aid Declaration (optional)

I confirm I am a UK taxpayer and want Hull Jame Masjid to reclaim tax on all qualifying donations I make. I 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.

Full Name

 

Postcode

 

Home Address

 

Signature

 

Date

 

⚠️ Important

Please complete this form and set up the standing order in your banking app or at your bank branch using the bank details above.

Donor Signature

 

Date