Reg. Charity 1092672

STEPS Romania Head Office: Sherwood House Chester Road Helsby, Frodsham Cheshire, WA6 0AU Tel: 01928 722338

Donation or Standing Order request

Name: ……………………………………… Address: ……………………………………………...

Tel: ……………………………………… …………………………………………………

Email: ……………………………………… Post Code: ………………………………………………

Donation

£

To: The Manager Bank name: ………………………………

Address: …………………………………….…………

…………………………………………………

Post Code: ………………………………………………

Sort Code: Account Number:

-

-

Please pay STEPS Romania:

£

on the:

of every month

starting:

until further notice.

STEPS Romania Bank Details: NatWest

Sort Code: 60-08-30 Account Number: 24126551

I am a UK Tax payer, and would like STEPS Romania to treat the above standing order/ donation as Gift Aid donations.

Signature:

Date: