Patron Application Form (Sterling)

Print and complete this form, then return it to the Temple (forms can be put in the donation box in the Temple room)

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STERLING Donation Form

International Society for Krishna Consciousness Founder – Acarya His Divine Grace A.C. Bhaktivedanta Swami Prabhupada

Inis Rath Island Derrylin Co. Fermanagh N.Ireland, BT92 9GN. 028 67723878 (048 67723878 from Ireland)

Charity no. XN79215        www.krishnaisland.com

Become A Hare Krishna Island Patron

You can contribute by standing order any of the following amounts, or other amount of your choice:

Mandir Benefactor       £108 up to £1008 per month

Mandir Sponsor                   £51 up to £107 per month

Mandir Donor                         £25 up to £50 per month

Standing Order Request Form – For Sterling Currency Donations

Please make standing order payments to:  First Trust, Enniskillen, Co. Fermanagh

Account Name: ISKCON NI LTD

Sort Code: 93 80 76    Account Number:  118 230 77

Beneficiary reference: Temple Patron [on the first day of each month, starting this month]

 

Name (Mr / Mrs / Miss / Ms) …………………………………………………………………………..

Address ………………………………………………………………………………………………………

………………………………………………………………………………………..

Post Code ………………………………………………..

E-mail address ……………………………………………………………………………………….

Telephone (optional) ………………………………………………………………………………

 

Preferred method of contact (please tick):           Email             Post              Telephone

 

Your Bank Name ………………………………………………………………………………………………….

Branch ……………………………………………………………………………………………………………….

Bank Address (in full incl.postcode) ………………………………………………………………………………………

……………………………………………………………………………………………….

Post Code …………………………………………………..

Your Account Number ………………………………………………………….

Sort Code ………………………………………………….

Amount  £ ……………………….. per month

Please choose a start date  ………… / ………… / ………….

Signed ………………………………………………………………………………………..

Date ………………………………………………………….

Gift Aid – How it works – For more info. Call Shelina 075 88 33 6272

For every pound that you give, ISKCON NI can now reclaim the tax. If you are a taxpayer all you have to do is tick the box and ISKCON NI can reclaim. No matter how large or small, regular or one-off donations, whatever the method of payment, now qualify.

Simply tick the box, sign below and add 28% to your donation

I want ISKCON NI to treat all donations I have made in the past six years, and all donations from the date of this declaration, until further notice as Gift Aid Donations.

Signed ……………………………………………………………

Date ………………………………………………………………

Completed forms can be placed in Donations Box in Temple Room, posted to above address, or completed on line.

Thanks for your support.

Notes:

1.        You can cancel this declaration at any time by notifying us on the number / address above

2.        You must pay an amount of income tax and / or capital gains at least equal to the tax ISKCON NI reclaims on your donations in the tax year (currently 25p/ each pound you donate)

3.        If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return = 20%

4.        If in the future your circumstances change and you no longer pay tax on your income you can cancel your declaration. See note 1.

5.        Please notify us of any change in your name and address.

Signed ……………………………………………………………………………….

Date ………………………………………………………………………………….