Great North Air Ambulance

Great North Air Ambulance Service,
Head Office, Northumberland Wing,
The Imperial Centre, Grange Road,
Darlington,
DL1 5NQ
Tel: 01325 487263
info@greatnorthairambulance.co.uk
 
Direct Debit Details DD Logo


For any queries contact our Helpdesk No: 01325 487263

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:
Gift Aid: If you are a UK Tax payer and would like GNAAS to treat all donations as Gift Aid, by ticking this box, every £1 you donate is worth £1.25
 
Bank Details...
 
Account Name: *
Sortcode: - - *  
Account Number: *  
bank account information for NatWest, GiroBank, National Savings Bank or Co-operative Bank account holders
 
direct debit guarantee
You can read the Direct Debit Guarantee by clicking on the logo to the left