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D ONAT E YO UR Q UR BA NI SHARE YOU R B L E SSI N GS Your personal and contact details

Donation (Please select region)

Donor ID (if known)

Group 1 - Cow

£

Title

Group 2 - Cow

£

Name

Goat

£

Address

Sheep

£

No of Qurbani

Post Code

Add to your Qurbani

Card Payments

Eid Package

£15

Pakistan Floods

£50

Cardholders Name Card Number as appears on the card Expiry Date (mm/yy)

Issue Number

Start Date (mm/yy)

CVS Last 3 digits on the back

Signature

Date

/

Name(s) of Account Holder(s)

Signature

Bank Transfer/Cash Deposit

Bank: HSBC Account No. 21651803 Sort Code: 40-15-17

Please ensure you inform our team With your transfer so wan perform Your Qurbani accordingly.

Instruction to your bank or building society Please pay PSL re Minhaj Welfare Direct Debits from the account detailed in this instruction subject to the safeguards assured by the direct debit guarantee. I understand that this instruction may remain with PSL re Minhaj Welfare and, if so, details will be passed electronically to my bank/building society.

Direct Debit Guarantee

Account Number (8 digits)

Collection Date Please tick appropriate

GIFT AID I authorise MWF to claim 25% on top of my donation. I confirm that I pay income or capital gains tax to the value of this donation. MWF may claim gift aid on this and all future donations. I AGREE

/

Instruction to your Bank or Building Society to donate by Direct Debit:

Sort Code (6 digits)

£

Total

Telephone/Mobile

Monthly Amount 1st

Date

15th

/

/

Donate by Cheque

This Guarantee is offered by all Banks and Building Societies that accept instructions to pay Direct Debits.If there are any changes to the amount, date or frequency of your Direct Debit HM Revenue & Customs will notify you 10 working days in advance of your account being debited or as otherwise agreed. If yourequest HM Revenue & Customs to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit by HM Revenue & Customs or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society.− If you receive a refund you are not entitled to, you must pay it back when HM Revenue & Customs asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Please make all cheques payable to: MWF and post

298 Romford Road, London, E7 9HD

Phone Donations Call our donations team on

0300 30 30 777

(local rates apply)

one of our team will be more than happy to help

Please moisten to secure gum. DO NOT POST CASH. Secure with tape if you are enclosing a cheque


Share the Blessings of Qurbani - Minhaj Welfare Foundation 2012