DONATE YOUR QURBANISHARE YOUR BLESSINGSYour personal and contact details Donation (Please select region)

GIFT AID

Add to your Qurbani

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

Bank Transfer/Cash Deposit

Instruction to your bank or building society

Donate by Cheque Phone DonationsBank: HSBCAccount No. 21651803 Sort Code: 40-15-17

Direct Debit Guarantee

Donor ID (if known)

Title

Name

Address

Telephone/Mobile

Group 1 - Cow

Group 2 - Cow

Goat

Sheep

No of Qurbani

Total

Post Code

Eid PackagePakistan Floods

£

£

£

£

£

£15£50

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.

This Guarantee is o�ered 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, con�rmation 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 con�rmation may be required. Please also notify us.

Name(s) of Account Holder(s)

Account Number (8 digits)

Sort Code (6 digits) Monthly Amount

Collection Date Please tick appropriate 1st

Please ensure you inform our teamWith your transfer so wan performYour Qurbani accordingly.

Please make all chequespayable to: MWF and post

298 Romford Road,London,E7 9HD

0300 30 30 777(local rates apply)

Call our donations team on

one of our team will be morethan happy to help

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

Signature Date / /

Card PaymentsCardholders 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

15th

Signature Date / /

I authorise MWF to claim 25% on top of my donation. I con�rm 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