Be a Guardian Angel of St Ethelburga’s (Annual) Thank you for considering becoming a Guardian Angel. You will now be able to set up a annual payment of £540 with Direct Debit Instruction with your bank. If you prefer to make a one-off gift click here. Contribution Amount * Guardian Angel - £ 540.00 Total Amount I want to contribute this amount every year Your recurring contribution will be processed automatically. You will receive an email receipt for each recurring contribution. Email Address * Gift Aid Can we reclaim gift aid on your donation? * Yes NoBy selecting 'Yes' above you are confirming that you are a UK taxpayer and the amount of income and/or capital gains tax you pay is at least as much as we will reclaim on your donations in this tax year. About Gift Aid Gift Aid increases the value of donations to charities by allowing them to reclaim basic rate tax on your gift. We would like to reclaim gift aid on your behalf. We can only reclaim Gift Aid if you are a UK taxpayer. Please confirm that you are a eligible for gift aid above. More about Gift Aid. First Name * Last Name * Street Address * Supplemental Address 1Supplemental Address 2CityCounty - none - Aberdeen City Aberdeenshire Alabama Alaska American Samoa Angus Argyll and Bute Arizona Arkansas Armed Forces Americas Armed Forces Europe Armed Forces Pacific Bedfordshire Berkshire Bristol, City of Buckinghamshire California Cambridgeshire Cheshire Clackmannanshire Clwyd Co Antrim Co Armagh Co Down Co Fermanagh Co Londonderry Co Tyrone Colorado Connecticut Cornwall County Durham Cumbria Delaware Derbyshire Devon District of Columbia Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian East Renfrewshire East Riding of Yorkshire East Sussex Edinburgh, City of Essex Falkirk Fife Florida Georgia Glasgow City Gloucestershire Greater Manchester Guam Gwent Gwynedd Hampshire Hawaii Herefordshire Hertfordshire Highland Idaho Illinois Indiana Inverclyde Iowa Isle of Wight Kansas Kent Kentucky Lancashire Leicestershire Lincolnshire London Louisiana Maine Maryland Massachusetts Merseyside Michigan Mid Glamorgan Midlothian Minnesota Mississippi Missouri Montana Moray Na h-Eileanan Siar Nebraska Nevada New Hampshire New Jersey New Mexico New York Norfolk North Ayrshire North Carolina North Dakota North Lanarkshire North Yorkshire Northamptonshire Northern Mariana Islands Northumberland Nottinghamshire Ohio Oklahoma Oldham Omagh Oregon Orkney Islands Oxfordshire Pennsylvania Perth and Kinross Powys Puerto Rico Renfrewshire Rhode Island Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Carolina South Dakota South Glamorgan South Gloucestershire South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Tennessee Texas Tyne and Wear United States Minor Outlying Islands Utah Vermont Virgin Islands Virginia Warwickshire Washington West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Virginia West Yorkshire Wiltshire Wisconsin Worcestershire Wyoming Post code * Direct Debit Information All the normal Direct Debit safeguards and guarantees apply. No changes in the amount, date or frequency to be debited can be made without notifying you at least 10 working days in advance of your account being debited. In the event of any error, you are entitled to an immediate refund from your bank or building society. You have the right to cancel a Direct Debit Instruction at any time simply by writing to your bank or building society, with a copy to us. In order to set up your Direct Debit Instruction on-line you will need to provide the following information through the setting up procedure (your cheque book contains all the bank details that you require): Bank or Building Society name and account number, sort code and branch address. If you are not the account holder, a paper Direct Debit Instruction will be sent for completion. Please click to end If this is a personal account continue with the set-up procedure If it is a business account and more than one person is required to authorise debits on this account, a paper Direct Debit Instruction will be sent to the Payers for completion. Alternatively you can print off your on-screen Direct Debit Instruction and post it to us: St Ethelburga's Centre, 78 Bishopsgate, London, EC2N 4AG. If you are unable to print please contact us on 0207 496 1611 (tel no) and we will post you a paper Direct Debit Instruction. If you do not wish to proceed any further please click here to end. The details of your Direct Debit Instruction will be sent to you within 3 working days or no later than 10 working days before the first collection. Account Holder Bank Account Number Sort Code Bank Name Preferred Collection Day 8th 22nd 1st Confirm By Email Post Please confirm that you are the account holder and only person required to authorise Direct Debits from this account My billing address is the same as above Billing Name and Address Billing First Name Billing Middle Name Billing Last Name Street Address City Country - select - United Kingdom United States State/Province - none - Aberdeen City Aberdeenshire Angus Argyll and Bute Bedfordshire Berkshire Bristol, City of Buckinghamshire Cambridgeshire Cheshire Clackmannanshire Clwyd Co Antrim Co Armagh Co Down Co Fermanagh Co Londonderry Co Tyrone Cornwall County Durham Cumbria Derbyshire Devon Dorset Dumfries and Galloway Dundee City Dyfed East Ayrshire East Dunbartonshire East Lothian East Renfrewshire East Riding of Yorkshire East Sussex Edinburgh, City of Essex Falkirk Fife Glasgow City Gloucestershire Greater Manchester Gwent Gwynedd Hampshire Herefordshire Hertfordshire Highland Inverclyde Isle of Wight Kent Lancashire Leicestershire Lincolnshire London Merseyside Mid Glamorgan Midlothian Moray Na h-Eileanan Siar Norfolk North Ayrshire North Lanarkshire North Yorkshire Northamptonshire Northumberland Nottinghamshire Oldham Omagh Orkney Islands Oxfordshire Perth and Kinross Powys Renfrewshire Rutland Scottish Borders Shetland Islands Shropshire Somerset South Ayrshire South Glamorgan South Gloucestershire South Lanarkshire South Yorkshire Staffordshire Stirling Suffolk Surrey Tyne and Wear Warwickshire West Dunbartonshire West Glamorgan West Lothian West Midlands West Sussex West Yorkshire Wiltshire Worcestershire Postal Code Update your detailsPlease indicate which areas of our work interest you. Please tick Public Events to ensure you get our mailngs and choose any areas you have a particular interst in.Title Mrs. Ms. Mr. Dr. Prof Imam Rabbi Revd Revd Dr Lord Baroness Sr. Br Viscount Lady Princess HRH HE Fr Bishop Archbishop The Rt Revd The Most Revd The Very Revd The Rt Hon Canon Colonel Major General Major Cardinal Sheikh Revd Canon Monsignor Ven Pastor Dom Ven Dr Lama The Rt Revd and Rt Hon Viscount Massereene and Ferrard Brigadier Canon Dr Cllr. Phone (Home)Phone (Work)Mobile PhoneTell us which areas of our work you're intersted in and we'll keep you informed of our activites and events in that area.Area of interest 1 - Public Events at St Ethelburga's Listen to the World Reconciliation You will receive an email asking you to confirm any changes you have made. Agreement Your account data will be used to charge your bank account via direct debit. While submitting this form you agree to the charging of your bank account via direct debit.