Regular Monthly Donation Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Phone (###) ### #### I would like to make a regular donation of via Standing Order of: * To the manager * (Name of bank or building society) Bank Address * Name(s) of account holder(s): * Sort Code * Account Number * Date * Today's date MM DD YYYY Gift Aid Declaration * If you are a UK taxpayer and eligible to Gift Aid your donation, please complete the declaration below. This will increase your gift by 25p for every £1 given at no extra cost to you or us. Thank you YES I want Stone Community Hub to treat these donations as gift aid donations NO I do not want Stone Community Hub to treat these donations as gift aid donations Thank you for your support