Your Details GIFT AID By ticking this box I want to Gift Aid my donation and any donations I make in the future or have made in the past, to Minhaj Welfare Foundation. 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 of my donations in that tax year, it is my responsibility to pay any difference. I understand Minhaj Welfare Foundation will claim 25p on every £1 donated. I Agree
£30
£150
Provide FOOD & WATER for a FAMILY OF FIVE for one entire month
£
Provide FOOD & WATER for FIVE FAMILIES for one entire month
£50
£600 Provide a family with a TENT, BLANKETS, MATTRESSES, WINTERISATION KITS, FOOD AND HYGIENE PACK.
Provide BASIC MEDICAL SUPPORT to ONE INDIVIDUAL
PERSONAL DETAILS Name Address Postcode
Tel/Mobile Email BY CREDIT/DEBIT CARD
OTHER AMOUNT
Please specify an amount
BANK TRANSFER / CASH DEPOSIT Bank: HSBC Account No: 21651803 Sort Code: 40-15-17 DONATE BY CHEQUE Please make all cheques payable to: MWF and post: Minhaj Welfare Foundation, 30 Brindley Road Manchester M16 9HQ PHONE DONATIONS 0300 30 30 777 (UK)
Cardholders Name Card Number Expiry Date mmyy
Issue Number
Start Date mmyy
CVS Last 3 digits on the back
INSTRUCTIONS TO YOUR BANK OR BUILDING SOCIETY TO DONATE MONTHLY BY DIRECT DEBIT
INSTRUCTION TO YOUR BANK OR BUILDING SOCIETY Please pay PSL re Minhaj Welfare Direct Debits from the account detailed in this instruction subject to the safeguards assured by the direct debit guarantee. I understand that this instruction may remain with PSL re Minhaj Welfare and, if so, details will be passed electronically to my bank/ building society.
Name(s) of Account Holder(s)
THE DIRECT DEBIT GUARANTEE
Account Number 8 digits
This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.
Sort Code 6 digits Direct Debit Start Date
Monthly Amount £
1st
15th
If there are any changes to the amount, date or frequency of your Direct Debit PSL re Minhaj Welfare will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request PSL re Minhaj Welfare to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
SIGNATURE
Date MINHAJ WELFARE FOUNDATION Registered Address: 298 Romford Road, London, E7 9HD. Registered Charity Numbers: England and Wales 1084057. Scotland SC043566.
If an error is made in the payment of your Direct Debit by PSL Minhaj Welfare or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when HPSL re Minhaj Welfare asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.