For Recurring, Direct Debit Donations

This form is for recurring direct debit donations made from a UK bank account. If you would like to make a one-off donation, or a donation by card, please use this form.

Thank you for your support of our work.

Bank details

Authorisation: Please confirm that you are the only person required to set up a direct debit on this account.

Yes

Bank Account Holder Full Name

Monthly Donation Amount (no £ symbol)

£5

£10

£20

Other

Recurring Start Date

Recurring Frequency

Bank Account Number

Sort Code (numbers only; no spaces or dashes)

Personal Details

Title

First Name

Last Name

Email Address

Address

City

Postcode

Gift aid

Yes, I'm a UK taxpayer and I'd like Feedback to treat this donation and any other donations I make in future as Gift Aid donations. I 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 understand that Feedback will reclaim 25p of tax on every £1 that I give. Gift Aid is reclaimed by Feedback from the tax I pay for the current tax year. Please let us know if your tax circumstances or name and address details change so we can amend our records.

No, I'm not a UK taxpayer.

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit RSM2000 re Global Feedback Limited will notify you 10 working days in advance of your account being debited or as otherwise guaranteed. If you request RSM2000 re Global Feedback Limited to collect a payment, confirmation of the amount and date will be given to you at the time of request.

If an error is made in the payment of your Direct Debit, by RSM2000 re Global Feedback Limited or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when RSM2000 re Global Feedback Limited asks you to.

You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.