Donate securely
by
Credit Card

Name(s): ...................................................................................................................

e-mail address: ...........................................................................................................

Address: ....................................................................................................................

.................................................................................................................................

.................................................................................................................................

Telephone contact number: .......................................................

I/We enclose a cheque for £..................... made payable to UKLGIG.

I want UKLGIG to reclaim tax on my donations Yes / No (delete as appropriate)

I / We would like to pay by standing order
>(please complete the form below)
.................................................................................................................................
Standing Order Form

Bank/Building Society: .................................................................................................

Bank address: ............................................................................................................

..................................................................................Postcode: ................................

Name of Account holder(s): ..........................................................................................

Account number:.........................................................Sort code:........ -........ - .............

Please pay -
UKLGIG, Account 80927424, NatWest, 169 Victoria Street, London, SW1E 5BT,
Sort Code 51-50-14

£........................................ monthly/annually (please delete one)

starting from ......./............ /.............(date of first payment) until further notice.

Name: ......................................................................................................................

Address: ...................................................................................................................

................................................................................Postcode:..................................

Signed: ....................................................................................................................

Please return to:
UK Lesbian & Gay Immigration Group, PO Box 51524, London, SE1 7ZW