SURVIVE - MIVA

                Missionary Vehicle Association                           

 

 

 

Bankers Order


Your bank name: ______________________________________

Branch address : ______________________________________

                         ______________________________________

                  Branch postcode:             _____________________


Please pay SURVIVE-MIVA  £__________ monthly/quarterly/yearly*
                                                                            * delete as appropriate

starting on ___________________________(date) until further notice. 


SURVIVE-MIVA ACCOUNT, Lloyds TSB, Charlotte Row Liverpool Branch, 53 Great Charlotte Street, Liverpool, L1 1QY. 

Sort Code  30-91-00   Account No  00208632 

quoting reference number _______________________________

This order cancels any previous order made by me for SURVIVE-MIVA.


My name :    ________________________________(BLOCK CAPITALS)

My address : ___________________________________________

                   ___________________________________________
            
                   _____________________POSTCODE______________

My ACCOUNT NUMBER: ___________________________________

    My SIGNATURE: ___________________________________

Gift Aid Declaration
Tax legislation now means that all donations - large or small - are eligible for refunds if you pay tax.  NO DETAILS of your tax affairs are required, however, you must pay an amount of Income Tax at any rate or Capital Gains Tax equal to the amount of tax we reclaim (28p for every £1.00 you give).  You need only sign once, which will count for all future donations where we can clearly identify you as the donor.  At SURVIVE-MIVA, all donations count - they do make a difference!  So if you are able, please sign and include a Gift Aid declaration with this Banker's Order by clicking here.

SURVIVE MIVA is a Registered Charity, No. 268745

www.survive-miva.org


INFORMATION

This form is simply an instruction to your bank to pay regularly to SURVIVE-MIVA, whatever sum you choose to help with our work.  It can be cancelled at any time by advising your local bank.

Print out this form and when completed, return it to SURVIVE-MIVA.

If you cannot print out this form, you can request one from the office by contacting us via telephone or email.

If you require any assistance at all with filling in this Banker's Order form, or have any questions, please do not hesitate to contact us.