STANDING ORDER FORM

To…………………………………………………………………….…………...Bank plc

Branch Address……………………………………………………………………………

Post Code: ……………………

Sort code………………….

Account name to be debited …………………………….

Account Number …………………………….

Please make payments and debit my/our account in accordance with the following details, to:-

Barclays Bank (Huntingdon Branch)

1 Market Hill, Huntingdon, PE29 3AE

Sort Code No. 20-43-63

For account of FDNCUganda

Account Number 40963356

Amount in figures £……………………………

Amount in words ……………………………………………………………………………………………

Payments to be made ………………………monthly/annually* until further notice

Date of first payment …………………………….

* (delete as appropriate)

Name……………………………………….

Address:…………………………………………………………………………………

……………………………………………………………………………………………...

Post Code:..……………………

Email:………………………………………………… (this will be confidential)

Signature(s)……………………………………. Date…………………………..

As you may be aware, donations from taxpayers qualify for the Inland Revenue Gift Aid scheme. This simply means that ugive2uganda can claim back the tax from the revenue on all donations it receives providing that you have paid the equivalent amount in income tax. All you have to do is sign below:

Please treat all donations that I make from the date of this declaration until I notify you otherwise as Gift Aid donations:

Signature……………………………………………… Date…………………………..

Please send this form to:- Philip Monk, 8 Woodlands, Hinchinbrooke Park, Huntingdon, PE29 6JQ who will, in turn, send it to your bank.