ESSEX HORSE & PONY PROTECTION SOCIETY Pitsea Hall Lane, Basildon, Essex SS16 4UH - Telephone No: (01268) 584603 Website: www.ehpps.org.uk -Registered Charity No: 297893
	please help us to continue to assist those horses in need of our care by making a regular contribution to our work
STANDING ORDER FORM
	To The Manager		Bank Plc
	Address
		Post Code
	Please debit my Account as follows:
	Account Name:
	Account No:	Sort Code:
	In the sum of £_________________ (your monthly donation) on the _______________ day of ________________________________ 2007 and on the same day each month until I advise you in writing that I wish to cancel this instruction. Please pay to the account of:
	Essex Horse and Pony Protection Society at Barclays Bank plc, 2 East Walk, Basildon, Essex SS14 1HN Account No: 70594814 Sort Code: 20-04-96
	Your Full Name:
	Your Full Address:
	Your Signature:
Please send completed form to Sue Allery, Secretary, EHPPS, Pitsea Hall Lane, Pitsea, Basildon, Essex SS16 4UH
	If you are a taxpayer, you may like to take this one step further and complete a Gift Aid Declaration form. This will enable us to reclaim the tax you have already paid and will cost you no more.
	GIFT AID DECLARATION If you are a UK taxpayer you can maximise your donation by allowing the EHPPS to reclaim 28p in every £1 donation PLEASE TICK HERE _________________________ I would like to treat all donations I have made since 6 April 2000 and all donations I make from the date of this Declaration as Gift Aid donations. You can cancel this Declaration at any time by notifying the EHPPS.