Chicken & Egg Issue 14 - page 61

Chicken & Egg. Welfare and Food Together.
Your Details:
Title: First Name: Surname:
Home Address:
Tel No:
I would like to help The British Hen Welfare Trust with a regular donation of £
each month until further notice. Please circle your preferred donation date: 1st or 15th
Payment Details: Amount in Figures £
Instructions to your Bank or Building Society to pay by Direct Debit
Bank/Building Society:
Name of Account Holder(s):
Branch Sort Code:
Account Number:
Service User Number:
8 4 0 8 1 8
Instructions to your Bank or Building Society.
Please pay the British Hen Welfare Trust 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 the British Hen Welfare Trust and, if so, details
will be passed electronically to my Bank or Building Society.
Banks and Building Societies may not accept Direct Debit
instructions for some types of account.
Your donation could be worth 25% more … if you are a UK Tax payer, for every £1 you give, the BHWT can
receive 25 pence from the Inland Revenue at no extra cost to you. All you need to do is read and sign the
declaration below.
I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to the British Hen
Welfare Trust. 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 my donations in that tax year it is my responsibility to pay any difference.
Please notify the BHWT if you:
· want to cancel this declaration · change your name or home address · no longer pay sufficient tax on your income and/or capital gains
N.B. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all
your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.
Signature: Date:
Direct Debit Guarantee to be retained by the payer
• This guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
• If there are any changes to the amount, date or frequency of your Direct Debit the British Hen Welfare trust will notify you 10
working days in advance of your account being debited or as otherwise agreed. If you request the British Hen Welfare Trust to
collect a payment, confirmation of the amount and date will be given to you at the time of the request.
• If an error is made in the payment of your Direct Debit, by the British Hen Welfare Trust 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 the British Hen Welfare Trust 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.
If you would like to set up a Direct Debit, please complete
this form and send to The British Hen Welfare Trust at Hope Chapel,
Rose Ash, South Molton, Devon, EX36 4RF.
Thank you.
Please support us
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