Marine Conservation Society regular contribution form
Instruction to your Bank or Building Society.
Name
Address
Email Address

I would like to pay

(min £3) monthly by Direct Debit
Or
(min £25) annually by Direct Debit

Or by cheque

I enclose a cheque for

Please make all cheques payable to MCS.

Only sign the declaration below if you are a UK tax payer. Thank you.

GIFT AID DECLARATION
I want the Marine Conservation Society to treat all donations I make from the date of
this declaration until I notify you otherwise as Gift Aid donations
Gift Aid Notes
I am a UK income tax payer and am making a donation to the Marine Conservation Society. I understand that I can cancel this declaration at any time

Signature  
Date:  

Click for info about direct debit garantee

Originator's ID no. 624141 Ref:
To the Manager (bank name):

Address:

 
Postcode:
Name of Account Holder(s)
Bank or Building Society account number
Branch Sort Code

Instruction to your bank: Please pay the Marine Conservation Society Direct Debits from the account detailed on this instruction subject to the safegaurds assured by the direct debit guarantee.

Signature:
Date:

Please print and post (not fax) this form to:
Donations Dept., Marine Conservation Society, Unit 3, Wolf Business Park,
Alton Road, Ross-on-Wye, HR9 5NB.