STANDING ORDERS
and
FOUR YEAR DEEDS OF COVENANT
(for individuals)

If you would like to help the work of the Trust by making a regular donation using either a standing order or a deed of covenant. Please print out the appropriate form and send it to the Laminitis Trust.


FOUR YEAR DEED OF COVENANT
(for individuals)

I (Mr Mrs or Title)  
Address  
   
   
   
Hereby Covenant with the Laminitis Trust that for four years (or during my life if shorter) I will pay the sum that will, after deduction of Income Tax at the basic rate, for the time being enforce amount to
Amount in words
Amount in figures £
Annually/Quarterly/Monthly (delete the two methods which you do not wish to use)
Starting on the day of
20
Signed as a deed by me:
Signature Date
In the presence of:
Signature of witness:  
Name of witness  
Address of witness  
   
   
   
Please ensure that any and all alterations are initialled.
When completed please return to;
The Laminitis Trust, Mead House Farm, Dauntsey, Chippenham, Wilts. SN15 4JA


STANDING ORDER MANDATE

To (enter your bank details)      
  Bank Name
Branch
Account to be debited Beneficiary details
Sort code Bank
Barclays
Account Number Branch details
Cheltenham
Account Name(s) Sort code
20-20-15
Account Number
40382264
Beneficiary Name
The Laminitis Trust
Customer Name  
Payment Details
Amount of 1st payment £   Date of 1st payment  
Amount of usual payment £      
Amount of usual payment
in words		  
When paid (weekly, monthly or annually)     Date of usual payment  
Complete either, amount of last payment £   and date of last payment  
Or please tick box to continue payments until further notice   Yes
       
Signature(s)     Date  
Your telephone number  
ALL BOXES MUST BE COMPLETED IN ORDER FOR THE STANDING ORDER TO BE PROCESSED
When completed please return form to
The Laminitis Trust, Mead House Farm, Dauntsey, Chippenham, Wilts. SN15 4JA