Rokpa Logo
100 Moorland Road Cardiff CF24 2LP
029 2049 9185
E-mail: info@rokpacardiff.com
Rokpa Cardiff is part of Rokpa Trust. Reg No. 3260031
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You may print this page or download from the links here: Gift Aid Forms

Confirmation of Standing Order Donation
Please hand or post this copy to:
Lorraine Harris
ROKPA CARDIFF
100 Moorland Road
Splott, Cardiff
CF24 2LP

I/we have sent the following details to my bank requesting that they pay
ROKPA TRUST ROKPA CARDIFF:

AMOUNT: £ .................. START DATE: ............. / ............ / ........................

FREQUENCY: ............................................................................. (Monthly, Weekly)

DURATION: .......................................................... Please enter either UFN (Until further notice) or the number of payments you wish to make.

SIGNED: ....................................................................

DATE: ..............................................

FULL NAME: ......................................................................................


ADDRESS: ..........................................................................................

.............................................................................................................

..............................................................................................................

POST CODE:.........................................................................................




Standing Order Form


Please send this to your bank to set up your payment

Please pay ROKPA TRUST CARDIFF

BANK: Royal Bank Of Scotland

SORT CODE: 83-25-03

BRANCH: Lockerbie

ADDRESS: Lockerbie

ACCOUNT NAME: ROKPA TRUST ROKPA CARDIFF
Registered Charity Number: 1059293

ACCOUNT NO: 00183148

AMOUNT: £ ........................... START DATE: ............. / ............ / ........................

FREQUENCY: .................................................... (Monthly, Weekly)

DURATION: ...................................
Please enter either UFN (Until further notice) or the number of payments you wish to make

Your Bank Details:

BANK: .........................................................................................................

BRANCH: .....................................................................................................

SORT CODE: .................................................................................................

ACCOUNT NO: .............................................................................................

ACCOUNT NAME: .........................................................................................

SIGNATURE: ................................................................................................

DATE: ...............................................

Please ensure you fill out the Gift Aid Form to enable us to claim all the tax on this donation

Thank you