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

The Gift Aid scheme enables the Mental Health Foundation to claim tax back on your gift if you are a UK taxpayer, so for every £10, the Inland Revenue gives us an extra £2.50 at no extra cost to you. In order for us to reclaim the tax you pay on this donation and all future gifts of money, you must pay an amount of Income Tax and/or Capital Gains Tax for each tax year that is at least equal to the amount of tax that we will reclaim on your gifts for that tax year.

 

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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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:
9
7
2
9
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Instruction to your Bank or Building Society

Please pay Mental Health Foundation 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 Mental Health Foundation and, if so, details will be passed electronically to my Bank / Building Society.

Data protection

The Mental Health Foundation will not share your details with anyone else. We would like to keep in touch and tell you what your support is making possible.

 
Direct Debit acknowledgement

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

Preferred email format