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Instruction to your Bank or Building Society to pay by Direct Debit Please fill in the whole form including official use box using a ball point pen and send it to: Originator's Identification Number Womankind Worldwide 8 3 8 1 6 3 2nd Floor 1 Development House Name ______________________________________ 56-64 Leonard Street London Address ____________________________________ EC2A 4JX ___________________________________________ Postcode ___________________________________ Name(s) of Account Holder(s) Email ______________________________________ I would like to set up a Direct Debit of: £ Monthly/Quarterly/Annually Bank/Building Society account number Please debit my Bank/Building Society account on : 1st 15th Branch Sort Code Instruction to your Bank or Building Society Please pay Womankind Worldwide 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 Name and full postal address of your Bank or Building Society with Womankind Worldwide and, if so, details will be passed To: The Manager Bank/Building Society electronically to my Bank/Building Society. Address Signature(s) Postcode Date Reference Banks and Building Societies may not accept Direct Debit Instructions for some types of account For every pound you donate to us through Gift Aid, we’re now able to reclaim an extra 25p from the Inland Revenue – at no extra cost to you.. I am a UK taxpayer and I would like Womankind Worldwide to claim tax on any donations that I have made in the past 6 years and all donations I make in the future until further notice. (Please tick here). To qualify for Gift Aid you must pay an amount of Income tax / Capital Gains Tax for each tax year (6 April to 5 April next) that is at least equal to the amount of tax Womankind will reclaim on your gifts for that tax year. This guarantee should be detached and retained by the Payer. The Direct Debit Guarantee This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society. If the amounts to be paid or the payment dates change Womankind Worldwide will notify you 10 working days in advance of your account being debited or as otherwise agreed. If an error is made by Womankind Worldwide or your Bank or Building Society, you are guaranteed a full and immediate refund from your branch of the amount paid. You can cancel a Direct Debit at any time by writing to your Bank or Building Society. Please also send a copy of your letter to us.