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Regular Donation

Regular Donation

My Gift

Amount *

The gift is *

Name of loved one

Church/group name *

What prompted you to give?

Allocation *

I would like to give to *

What? *

Who or what? *

Which event? *

Who is going?

Direct Debit Details

Are you the account holder?

Yes No

Direct Debits can only be set up by the account holder. If more than one signature is required on your account, a paper mandate will be required. Don’t worry, you can access a paper form and also find other ways to give here.

I would like to give on the first day of every... *

I would like the first payment to be taken on the 1st of *

Would you like to include an annual increase in your gift?

Yes No

Annual increase

My Details

Title *

Forename *

Surname *

Email *

Date of birth (DD/MM/YYYY)

Street address *

Town *

Postcode *

Country *

Mobile phone

Home phone

Gift Aid

Would you like to boost your donation by 25p for every £1 you donate?

Treat this as a Gift Aid donation *

Yes No

Gift Aid Declaration

I am a UK tax payer and wish to Gift Aid this and any subsequent donations to Scripture Union Scotland. I understand that, if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference. I will notify SU Scotland if I want to cancel this declaration, change my name or home address, or no longer pay sufficient tax on my income and/or capital gains.

Keep me up to date

We would like to keep you up to date with news and stories from SU Scotland. We promise to look after your data in accordance with General Data Protection Regulation. See suscotland.org.uk/privacy for more details.

My preference:

Please send me SU Scotland's core mailings (magazine, prayer diary and appeals three times a year) I already receive SU Scotland mailings I do not wish to be updated

Would you like to receive news and stories by email or post?

Email Post

Bank Details

Bank account number *

Sort code *

Name of account holder * max 18 characters

Confirmation of the Direct Debit set up will be sent by email within 3 working days or no later than 10 working days before the first collection if sent by post

Instruction to your bank or building society

Direct Debit

Please pay PSL re Scripture Union Scotland Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with PSL re Scripture Union Scotland and, if so, details will be passed on electronically to my bank/building society.

Banks and Building Societies may not accept Direct Debit instructions for some types of account

Direct Debit Guarantee

Direct Debit

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 PSL re Scripture Union Scotland will notify you, by email, 3 working days in advance of your account being debited or as otherwise agreed. If you request PSL re Scripture Union Scotland to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit, by PSL re Scripture Union Scotland 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 PSL re Scripture Union Scotland 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.

Need help?

If you need help completing this form, please contact SU Scotland's Finance department on 0141 352 7628 during normal office hours. Where the work on a particular project is deemed to be sufficiently funded, SU Scotland may re-direct any surplus to areas of greatest need.

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SU Scotland

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Direct Debit
Confirmation

Please check your details

Account holder:

Sort code:

Account Number:

Amount to be debited: £

This will be collected on the 1st of each starting on 1st

The company name which appears on your banks statement will be SU Scotland

Service User Number: 446104

Reference:

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Scripture Union Scotland is registered in Scotland as a charity (no.SC011222) and as a company limited by guarantee (no.SC54297).

Registered office: 70 Milton Street, Glasgow, G4 0HR. Telephone: 0141 332 1162. Scripture Union Scotland is registered with the Information Commissioner's Office under registration reference ZA356097. SU Scotland subscribes to the United Nations Convention on the Rights of the Child, as reflected in UK law.

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