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InternationalSocietyforKrishnaConsciousness

Founder-AcharyaHisDivineGraceSrilaA.CBhaktivedantaSwamiPrabhupada

IwouldliketobecomeamemberofFriendsforISKCONLeicesterbydonatingthefollowing

amountonamonthlybasis:

5 11 21 51 101

TotheBankManagerof:

Nameofyourbank: ___________________________________________________________________________

Addressofyourbank: ___________________________________________________________________________

___________________________________________________________________________

Postcode:_______________________________________________________________

AccountHolder/sName: ___________________________________________________________________________

Yoursortcode:_____/_____/_____ Accountnumber:______________________________________________

PleasepayISKCONLeicesterLloydsTSBBank,67HighStreet,Watford,Herts,WD12DU

Sortcode:30-99-21 Accountnumber:1463646

Thesumof___________________________________________________________________________(inwords)

Commencingon_____/_____/_____andthereafteronthe_____ofthemonthuntilfurther DDMMYY Daynoticeanddebitmyaccountaccordingly.

Signature:_____________________________________ Date:________________________

Atnocosttoyou,pleasemakeeverypoundyougiveworthanextra25%toISKCONLeicesterbytickingthisGift

Aiddeclaration.

Yes!GiftAidmydonation.

IwantalldonationsI'vemadetoISKCONLeicesterinthepastfouryearsandalldonationsinthefuturetobe

treatedasGiftAiddonationsuntilInotifyyouotherwise.*

IamnotaUKtaxpayer.*YoumustpayanamountofIncomeTaxand/orCapitalGainsTaxforeachtaxyear(6Apriloneyearto5

Aprilthenext)thatisatleastequaltotheamountoftaxthatISKCONLeicesterwillreclaimonyourgifts

forthattaxyear.

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YourDetails

Name: ____________________________________________________________________________________

DOB: ____________________________________________________________________________________

Occupation: ____________________________________________________________________________________

Address: ____________________________________________________________________________________

____________________________________________________________________________________

Postcode:_______________________________________________________________________

Tel:(H) ___________________________________________________________________

(Mob) ___________________________________________________________________

Email: ____________________________________________________________________________________

@________________________________________________________________________________

SpouseName: ____________________________________________________________________________________

DOB: ___________________________________________________________________

Occupation: ___________________________________________________________________

Childname: ______________________________________________ DOB:____________________________

Childname: ______________________________________________ DOB:____________________________

Childname: ______________________________________________ DOB:____________________________

DataProtection

PleasetickhereifyouwouldliketobekeptuptodatewithISKCONLeicestersnewsand

activities

EMAIL:

SMS:

,

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