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Gloucestershire Nature Reserve Fund

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Additional members must live at the same address


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Make your gift worth more for wildlife

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If you are a UK taxpayer, the value of your gift can be increased by 25% under the Gift Aid scheme at no extra cost to you. This means your donation of £4 could be worth an extra £1.00 to us.

By agreeing to the Gift Aid statement below we can reclaim the tax paid on the donations you make to us. This means for every £1 you give the Government will give us an additional 25p to help wildlife. To be eligible for Gift Aid the amount of Income Tax and/or Capital Gains Tax you pay in each tax year, must be at least equal to the amount of tax that all charities and CASCs will reclaim on your gifts for that tax year.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.


Contact Preferences

Keeping in touch:

Thank you for helping to protect Gloucestershire’s wildlife and wild places.  We’d love to stay in touch and keep you updated about the exciting projects that we have going on, local wildlife updates, latest at our reserves and to give you the opportunity to feel part of our amazing community by letting you know about our charitable efforts, fundraising and volunteering activities.We will send you this information via post, unless you tell us otherwise.

If you do not wish to be contacted in future please email membership@gloucestershirewildlifetrust.co.uk

We will always store your personal details securely. We'll use them to provide the service that you have requested, and communicate with you in the way(s) that you have agreed to. Your data may also be used for analysis purposes, to help us provide the best service possible. We will only allow your information to be used by suppliers working on our behalf and we'll only share it if required to do so by law.


I am happy to be contacted by Gloucestershire Wildlife Trust about conservation, membership, fundraising and other activities by:

You can change your contact preferences at any time by contacting Gloucestershire Wildlife Trust at membership@gloucestershirewildlifetrust.co.uk or by calling 01452 383333 or by writing to Conservation Centre Robinswood Hill Country Park Reservoir Road Gloucester GL4 6SX


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Gift Details

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Supporter Details

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Additional Adult

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Additional Children

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Payment Options


Pay by Direct Debit

Pay by Credit Card

Monthly

Annually


The Direct Debit Guarantee

  • 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 Debits Gloucestershire Wildlife Trust will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request Gloucestershire Wildlife 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 Gloucestershire Wildlife 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 Gloucestershire Wildlife 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.
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Payment Contact Details


Billing Address


Donation details


Bank details

Notice: If you are not the account holder or more than one person is required to authorise debits on this account unfortunately we are unable to accept your direct debit instruction online. If this is the case then please call us on 01452 383333 for alternative payment methods

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Confirm Direct Debit Details

Thank you for choosing to pay by Direct Debit. Payments will appear as Gloucestershire Wildlife Trust and we will send confirmation of the Direct Debit setup by post within 3 working days or no later than 10 working days before the first collection.

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Gloucestershire Wildlife Trust

Gloucestershire Wildlife Trust, Conservation Centre Robinswood Hill Country Park Reservoir Road Gloucester GL4 6SX

Instruction to your Bank or Building Society to pay by Direct Debit

Name(s) of Account Holder(s)

Bank/Building Society Account Number

Branch Sort Code

Name and full postal address of your Bank or Building Society

To: The Manager:

Address:

Postcode:

Service User Number

658930

Reference Number

            


Instruction to your Bank or Building Society

Please pay Gloucestershire Wildlife Trust 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 Gloucestershire Wildlife Trust and, if so, details will be passed electronically to my Bank/Building Society

Date

26/04/2018

Banks and Building Societies may not accept Direct Debit Instructions for some types of account

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