The Living Paintings Trust

Giving Form and Banker's Order

Please print and complete this form.

Title: Full Name:

Address:

Town: Postcode:

Telephone: Email:


Please pay the Living Paintings Trust, a/c number 00002005, sort code 40-52-40 CafCash Ltd, Kings Hill, West Malling, Kent ME19 4TA quoting our ref:

(FOR OFFICE USE ONLY)

£3 per Month £36 per Year
Other Amount £ per Month / Year* until further notice.

(PLEASE TICK THE RELEVANT BOX)

And debit my acount (YOUR BANK DETAILS) Account Name:

Account Number: Bank Sort Code: - -

Start Date: / / (DAY / MONTH / YEAR)

Please tick here if you would like The Living Paintings Trust to reclaim the tax that you have paid on all your donations to us since 6th April 2000 and any future donation(s) you may make. Please remember to tell us if you no longer pay enough tax to cover the money we can claim back from the Inland Revenue.

Signature: Date:

To Manager: (BANK'S NAME)

Address:

Town: Postcode:

Thank You. Please return this form to: The Living Paintings Trust, Unit 8 Kingsclere Park, Kingsclere, Newbury, Berkshire RG20 4SW. (PLEASE DO NOT RETURN TO YOUR BANK)

The Living Paintings Trust is a Registered Voluntary Charity No: 1049103