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Privacy Policy

Set up a regular Direct Debit

Your details will be submitted securely.

Fields marked with an asterisk (*) must be completed.

Declaration

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Payment

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Please specify your preferred collection date. If the collection date selected falls within the next 28 days, the first payment will be collected the following month.
 
 

Gift Aid

Please treat as Gift Aid donations all qualifying gifts of money made today, in the past 4 years and in the future.

I confirm I have paid or will pay an amount of UK Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the amount of tax that all the charities or community amateur sports clubs that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

 

Authorisation

In order to set up an online Direct Debit you must be the account holder of a personal bank or building society account and the sole required signatory on the account.

If you are not the only required signatory on your account, or you would rather send us a paper version of this form, download the printable PDF version of the Direct Debit form.

Personal details

Name

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Address

Enter a house name or house number and postcode, then click the Find address button. Alternatively, fill in the details manually.

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Contact details

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Other Information

   
Bank details

Please enter the following details including your bank or building society sort code. This is the six-digit number which appears on your cheque book, bank card or bank statement.

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Please do not include dashes or spaces
Direct debit
Service user number:
6
9
9
6
6
0

Instruction to your Bank or Building Society

Please pay Home-Start UK 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 Home-Start UK and, if so, details will be passed electronically to my Bank / Building Society.

Data protection

We would occasionally like to update you on our work and activities by post. If you wish to receive these, please tick the box below:

 

We would occasionally like to update you on our work and activities by email. If you wish to receive these, please tick the box below:

 
Direct Debit acknowledgement

Please select the method by which you would like to receive acknowledgement of your Direct Debit Instruction.

Preferred email format