{short description of image}{short description of image}{short description of image}    Mogok Vipassana Centre
UK Charity Commission No. 1105950
30 Oliver Gardens London E6 5SE, Tel. 020 7511 8189: Email: contact@mogok.co.uk

Standing Order Mandate


  Your Bank's Details

  Name of your Bank or Building Society:


  Address:

  Postcode:

  Name of Account Holder:


  Bank Sort Code:              -             -

  Account No.:   __   __   __   __   __   __

Instruction to the Manager of your bank

Please pay the following Amount of:

£5    £10     or    £     per month or per year from ____/____/ 2008

BUDDHIST AID Account

Sort Code:   51 70 57

Account Number:   __   __   __   __   __   __

NatWest Bank, Beckton Branch, 15 Mary Rose Hall,
Frobisher Road, Beckton, London E6 5ZZ

Your Signature:

Date:____/____/ 2008


Note: Please send the completed form to Buddhist Aid, 30 Oliver Gardens, London E6 5SE and it will be forwarded to your bank after adding our Bank details.


{short description of image}    for Giving with Tax Benefits (Please tick) [    ]

  If you are a UK taxpayer, please tick to join the Gift Aid scheme, making the value of your donation increase by nearly a third — at no additional cost to you!

  I am a UK taxpayer and I want all donations I've made to Buddhist Aid since 1st September 2004 and all donations in the future to be treated as Gift Aid donations until I notify you otherwise.

  Your Signature:                                          Date:  ____/____/2008

  Name:  Dr / Mr / Mrs / Ms / Miss

  Address:

  Postcode:                                 Telephone:                                       E-Mail: