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Donation / Qard Hasan Form in MS Word:
Donation / Qard Hasan in PDF:
Single Payment or Regular Giving Invoice
Giver’s details:
Name: ……………………………………………………………………………….
Address: …………………………………………………………………………….
……………………………………………………………………………..
……………………………………………………………………………..
Post Code: ………………………………………………………………………….
Phone numbers: …………………………………………………………………..
…………………………………………………………………..
Email Address: ……………………………………………………………………
Website: ……………………………………………………………………………..
To: Bangladesh Trust
I/ we pledge to make contributions by:
**Cheque(s) payable to Bangladesh Trust
**Regular payment towards
(Please circle)
*General purposes fund of the organisation. ———£………………………….
* Others (please specify) ——————————- £………………………….
Total = £………………………….
Every week/ month/ quarter/ year (please tick one) until ……../ ……./ ………….. or further notice.
Bank Standing Order Mandate
To: The Manager, (your bank name) ……………………………………………………
Bank address: ………………………………………………………………………………
Account Number: ……………………………….. Sort Code: ………-……..-……..
Please pay to: Bangladesh Trust , A/C: 50194816, S/C: 20-76-90, Barclays Bank PLC
International Bank Account Number : GB03BUKB20769050194816.
International Bank Identification Code: BUKBGB22XXX
The sum of
£ ………………….. (In words …………………………………………………………..)
to commence on ……./………/………………. and weekly/ monthly/ quarterly/ Yearly (please circle one) thereafter until ………/………/………………… or further notice.
Name: …………………………………………………….
Signature: …………………………………………… Date: ………/………/…………..
Please return the completed form to:
Bangladesh Trust: 390 Hoe Street; London E17 9AA; UK.
t: +447939847723.
e: Editor@BangladeshMatters.com
Your membership number (if any):