Secure Collections (GNAA)

Direct Debit Details

Please complete the following sections:-

You will need your account details, which can be found on your cheque book, to complete the direct debit instruction.
Is the account in your name? Are you the only signatory required to authorise this direct debit?
If not, please click here for a paper mandate (PDF format) which should be printed off and sent to us with all necessary signatures. If you do not have Adobe PDF Reader please click here to download it.

Please complete the following information:

Personal Details...

Title:	*
Forename(s):	*
Surname:	*
House Number/Name:	*
Post Code:	*
Company Name:	optional
Telephone Number:	*
E-Mail:	optional

Debit Details...

Amount in £:	*
Payment Date :	*ddmmyy
Frequency:	Monthly
Gift Aid:		I would like GNAAS to reclaim tax on this donation. Please note that for your gift to qualify for tax relief , you must be paying at least 28p in income tax for every £1 you donate

Bank Details...

Account Name:

Sortcode:

- - *

Account Number:

for NatWest, GiroBank, National Savings Bank or Co-operative Bank account holders

You can read the Direct Debit Guarantee by clicking on the logo to the left