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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


                              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

                                                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.

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