THE MATHIESON MUSIC TRUST BANKER'S ORDER DONATION FORM
A Registered Charity. Charity Number 1040751 Trustees: Anup Kumar Biswas - Andrew Auster - Agnes Biswas
Please print out this page, fill it in and send to the Mathieson Music Trust, c/o 52 The Avenue, Rayners Lane, Pinner, Middlesex HA5 5BL, UK
(tel 020 8960 5889) N.B. NOT to your bank as we shall forward it to the Manager after we register the details.
Your Bank/Building Society (please print)
Bank name:......................................................................address and post code.................................................... sort code.................................
I, ..................................................................................
of ............................................................................................................................................post code…………..
request my bank to pay monthly/quarterly/annually*, until further notice, to the credit of THE MATHIESON MUSIC TRUST, Barclays Bank Plc, Notting Hill Branch, 137 Ladbroke Grove, London W11 1PR. Account No 60260630, sort code 209655 the sum of £.............. (in words ......................... pounds) starting on the ........day of .......................(or immediately on receipt of this order if later). *delete as appropriate
My account name................................................................ Account no..................................
Signature …………………. Date……………
DECLARATION OF GIFT AID DONATIONS (please sign again for tax rebate purposes, if applicable)To qualify, you must be a UK taxpayer and pay income tax or capital gains tax equal to the gross tax deducted from your donation (28p for every £1 you give). Please remember to notify us if and when you are no longer a taxpayer. You are entitled to cancel this declaration at any time.
I want the Mathieson Music Trust to reclaim tax on all donations I have made since 6 April 2000 and all donations I will make to this charity hereafter.
Signed …………………. Date……………