Newbury and District Cancer Care Trust
Registered Charity No. 291975

 I would like to make a regular gift
 
 I would like to make a single payment
 
 I am a UK taxpayer and I would like 
 Newbury Cancer Care Trust to reclaim
 the tax I have paid on this and any future donations

 Name............................................................................

 Address.........................................................................

 .....................................................................................

 ....................................Postcode...................................

 Signature...................................Date..............................

 For a Standing Order please complete the following:

 Please pay Lloys Bank Plc. 3-5 Bridge Street, Newbury,
 Berks. RG14 5BQ

 Sort Code: 30-95-89 Account No: 0804563 (Newbury 
 Cancer Care Trust)

 £................monthly/annually (please indicate)
 Starting on day:...........month:............year:........
 Until further notice.

 Please debit my account:

 Sort Code ........................................................

 Account No ......................................................

 

Please print out and post the completed form to the address below