Thank You For Your Donation In Memory

Thank you,

for your donation

Your monthly gift will help some of the world's most disadvantaged children.

Your reference is

will be debited from your account on

Your Direct Debit instruction

Please print this page and keep it as a record of your Direct Debit instruction

Save The Children

London

Instruction to your Bank or Building Society to pay by Direct Debit

NAME OF ACCOUNT HOLDER

SERVICE USER NUMBER

6 5 5 7 0

BANK/BUILDING SOCIETY ACCOUNT NUMBER

REFERENCE

BRANCH SORT CODE

Instruction to your Bank or Building Society. Please pay Save the Children Direct Debits from the account detailed in this instruction subject to the safeguards assuered by the Direct Debit Guarantee. I understand that this instruction may remain with Save the Children and, if so, details will be passed electronically to my Bank/Building Society

PAYMENT AMOUNT

PAYMENT FREQUENCY

FIRST PAYMENT DATE

DATE

We have sent you a confirmation email with these details. If you have any questions please email or call +44 (0) 207 012 6400.

If you have made a Gift Aid declaration please inform us, if you: