Friends of the Lazarus Home for Girls
Making a home for homeless girls in Palestine

Standing Order Form

Please use this form to set up a Standing Order to donate to our work.

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The Friends of the Lazarus Home for Girls in Bethany Standing Order Form

Please make your standing order date for at least 14 days in advance of today's date, to allow your bank to process your instructions.

name: 

address: 

post code:    Telephone: 

This standing order cancels any previous standing order made to the same The Friends of the Lazarus Home for Girls in Bethany account:

To (your bank name/building society): 

Address of your bank/building society: 

Post code:    Sort code: 

Account number:    Account name: 

Amount of first payment:    Date of first payment: 

Amount of usual payment:   Date of usual payment: 

When paid (weekly, monthly, quarterly, annually etc.): 

Please continue until further notice (tick here): 
or pay until this date which is the date of the last payment (day, month, year):


Signed:    Date: 

To make your gift go even further, please complete the Gift Aid declaration, if you pay tax in the UK. As we are a registered charity, this will add 28% more to your donation without any extra cost to you.

Gift Aid Declaration: I am a UK taxpayer and I want all donations I have made to The Friends of the Lazarus Home for Girls in Bethany since 6 April 2000 to be Gift Aid until I notify your otherwise.

Signed:    Date: 

Please complete, sign and return this form to:

The Treasurer
The Friends of the Lazarus Home for Girls in Bethany
70 Ambridge Way
Wheatfields
Seaton Deleval
Northumberland NE25 0PY