Standing Order Confirmation – Property THIS FORM IS TO NOTIFY US THAT YOU HAVE CREATED A STANDING ORDER. Title (required) Forename (required) Surname (required) Address (required) Tel (required) Email (required) We will not share your details with third party organisations. Amount Donated Monthly (required) £50£100£250Other Please specify the amount Bank Details Sort Code 20-52-74 Account No 23003167 Gift Aid Declaration If you are a taxpayer you can increase the value of your donation by enabling us to reclaim tax via the Gift Aid Declaration below: I am a UK tax payer. Please treat all donations I make or have made to KSIMC of London for the past 4 years as Gift Aid donation until further notice. I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations to charities and Community amateur sports clubs (CASCs) in that tax year, it is my responsibility to pay any difference. The KSIMC of London will claim 25p on every £1 donated. Please tick to confirm Please notify us if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/ or capital gains.