The Cotton Tree Children’s Trust

                        Registered Charity No: 1116021                      www.cottontreechild.org

STANDING ORDER FORM

Please complete this part of the form and present it to your bank

NAME OF YOUR BANK:    .................................       BRANCH:    .......................

SORT CODE:    ..........................       YOUR ACCOUNT No:    .............................

ACCOUNT NAME:    .......................................................................

INSTRUCTIONS TO BANK

PLEASE DEDUCT: -

£............ MONTHLY FROM THE ABOVE ACCOUNT WITH EFFECT FROM ...../...../ 20......

PLEASE CREDIT THE FOLLOWING ACCOUNT: THE COTTON TREE CHILDREN’S TRUST

c/o HSBC BANK, WARWICK      SORT CODE: 40:45:25 ACCOUNT NO: 41372459

SIGNATURE:    ........................................DATE:    .........................................

CONTACT TEL No:    …………………………………

…………………………………………    TEAR HERE    ………………………………………  

Please return this part of the form to the address below. If you wish to be kept

updated of the charity activities tick here     ……………

NAME OF CHILD SPONSORED IF PERSONALLY CHOSEN    ……………………….........……

YOUR NAME:    ………………………………………………MONTHLY DONATION: £…………

YOUR ADDRESS:    …………………………………………………………………………………….

EMAIL ADDRESS:    …………………………………………            TEL No:    ………...…......…..

To make a one-off donation please send your cheque for £………..... to this address: -

The Cotton Tree Children’s Trust, 51 Manders Croft, Southam, Warwickshire. CV47 8DX

            Tel: 01926 259804           email: cottontreechild@gmail.com

If you are a UK taxpayer we can gift aid your donation. This enables the charity to

recover 28p in every pound of your donation.    Please sign the statement below: -

I wish to gift aid the above ongoing donation until I advise otherwise. 

SIGNATURE:………………………………………………    DATE:………………………………