St John's Parish Church, Harpenden

Parish Giving Pledge

I wish to give the following amount regularly towards the work of God in this Parish and in the World through my Parish Church, St John's, Harpenden :-

£
	
per	Week/
Month/
Quarter/
Year	
by means of	Envelopes/
Banker's Order/
Cheque
Standing Order from CAF account	Delete as appropriate	

                                         This pledge will commence on 
	Day        Month        Year

Signed		
on	Day        Month        Year

Name	In CAPITAL letters please

	

Notes:
1.	If you wish to give through your bank account please fill in a Banker's Order Form.
2.	If you are a taxpayer then St John's can recover tax, at no cost to yourself, if you make a Gift Aid Declaration in favour of  St John's.  Please complete page 2.
3.   If you wish to make  payment from your Charities Aid (“CAF”) Account, please request payment to be made to 
      St John’s Parochial Church Council, Harpenden, quoting Inland Revenue number X72011

Banker's Order Form

To:	The Manager	
	Name of Bank/BS	

	At	Branch Address with Postcode

	

Please pay to the account of St John's, Harpenden, Parochial Church Council at Barclays Bank PLC
(Sort Code 20-74-09 Account No 90791938)

the sum of 	
£		in words :

on the	Day          Month          Year
	
and on the same day in each succeeding	
Month/Year	

until further notice from me in writing and debit my account with each payment.
This Order cancels any previous Banker's Order which I may have in favour of St John's, Harpenden, Parochial Church Council.

Signed	
	
on	Day          Month          Year

	Name in which account is held :-				           Sort Code :-

Address of account holder :-					Account Number :-

	

a
Gift Aid Declaration
in favour of
The Parochial Church Council of St John the Baptist, Harpenden

I wish St John's PCC to treat all donations I have made for the six years prior to this declaration (but no earlier than 6 April 2000), and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.

Title	(Mr, Mrs, Miss etc)     ………………………………………	
Forename(s)	……………………………………………………………….	
Surname	……………………………………………………………….	
Address	……………………………………………………………….
……………………………………………………………….
……………………………………………………………….	
Post Code	……………………………………………………………….	

Signature	……………………………………… Date ……/….…/…….	

Notes:
1.	For St John's PCC to recover tax on your donations, you must be paying an amount of income tax and/or capital gains tax that is, at least, equal to 20 pence for each £1 of your total donation(s) to St John's and any other charities you support through Gift Aid.* The tax already paid at source on bank interest and/or share dividends can count towards your income tax total.
2.	If your circumstances change and you no longer pay sufficient income tax or capital gains tax, you should cancel this declaration.
3.	You can cancel this declaration at any time for any reason by notifying the Stewardship Recorder.  The declaration will then not apply to donations you make on or after the date of cancellation or such later date as you specify.
4.	Please notify the Stewardship Recorder if you change your name or address while this declaration is still in force.
5.	If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return.

* If you are unsure whether your donation qualifies for Gift Aid tax recovery please contact the Stewardship Recorder who is willing to give you help and advice or see http://www.hmrc.gov.uk/individuals/giving/gift-aid.htm.

For office use only                                           Stewardship Roll Number: