Standing order

Giving regularly to Daniel’s Den by standing order means we can plan ahead, and is easy and convenient for you too. Just let us know using this form, and we’ll give you the appropriate details. (If you’d prefer us to set it up on your behalf, download and post this form instead.)
I would like to give
- £5
- £10
- £15
- £30
- £50
- Other
Please enter how much*
You don’t need a £ sign.
Frequency*
Starting on*
DD slash MM slash YYYY
Until
- further notice
- a certain date
Until date*
DD slash MM slash YYYY
Boost your donation by 25% through Gift Aid
I want to Gift Aid any donation I make in the future or have made in the past 4 years to Daniel’s Den. I am a UK taxpayer at the address below, and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. I will notify Daniel’s Den if I want to cancel this declaration, change my name or address, or no longer pay enough tax to cover the Gift Aid reclaimed.
I agree and would like to add Gift Aid
Name*
Title First name Surname
Address*
We need your billing address for the payment, and if you ticked Gift Aid, to reclaim this. (We will not send you any mailings unless you ask for them.)

Address Address line 2 (optional) City or town Post Code Country
Email*
Your details will be stored securely in accordance with our privacy policy.

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