Regular Gift

If you would like to become a regular giver by setting up a monthly banker’s order, please complete the form and return it to the address below, NOT to your bank.

I would like to make a regular donation, by standing order, to CEEM Ltd

Title................
First name(s)..............................................................
Surname.....................................................................
Address......................................................................
...................................................................................
...................................................................................
...................................................................................
Postcode......................................

Telephone...................................................................

Name of bank or building society _________________________________________
Branch address _________________________________________________________
Account holder name ___________________________________________________
Account number _______________________________________________________
Sort code ________ /________ /________
The amount (in figures) £ _______ (in words)_______________________________
First payment on ____________ and thereafter weekly/monthly/quarterly/annually

(delete as appropriate)

Signed ________________________________ Date_________________________
Reference: ___________________________________________________________

(to be completed by CEEM Ltd.)

Please pay: HSBC PLC, 5 High Street, St Neots, Cambs, PE19 1DE
(40-40-10) for the credit of A/c no 01408089

Please return the completed form to:
The Fundraising Department, CEEM Ltd, 12 West Way, Allington Gardens, Allington, Grantham, Lincs NG32 2FP
Tel: +44 (0) 1400 281945
Email: contact@ceem.co.uk

Please also complete and return the Gift Aid form on the next page. If you are a tax
payer, it enables us to claim the tax back and increases the value of your gift. Oct/08

Gift Aid Declaration

If you are a UK taxpayer then CEEM Ltd can claim the tax on any gift you make. All you need to do is fill in the following details and return the form to CEEM Ltd.

Telephone...................................................................

e-mail.........................................................................

Please treat as Gift Aid, all donations made by me to CEEM Ltd. from the date of this Declaration, until I notify you otherwise.

Signed.............................................................................

Date...................................................................

I am a UK taxpayer and want CEEM Ltd to reclaim tax on all my donations . In making this Declaration, I understand that I must pay or have paid an amount of income Tax (or Capital Gains Tax) equal to the tax to be reclaimed on my donations by CEEM Ltd. I will tell CEEM Ltd. if I am no longer a taxpayer.

Post to: CEEM Ltd.
1 Willow Close
St Neots
Huntingdon
Cambs
PE19 6JH