Donation Form

Step 1: I want to give Downside Up USD or £ or Euro;____________
one time_____ each month _____each year_______


Step 2: I will make my contribution by (tick)

cheque to Downside Up Limited at Flat 187, Block B Colherne Court Redcliffe Gardens,
London, SW5 ODU

banker’s order (if you have a bank or building society account you can make a gift by completing the Standing Order form below)

Step 3: Fill in this form
Name ………………………………………………………...
Address ………………………………………………………
………………………………………………………
Post code…………………………………………………....
 Telephone …………………………………………………....
E-mail ………………………………………………………….

If you are UK Tax payer and would like to make all your donations (from 6th April, 2000 onwards) worth a third more to Downside Up, then please tick this box and we’ll do the rest. Please make sure your address details are correct, above. I confirm that I am a UK Tax Payer and that DSU can claim the tax on all my gifts

(please tick here)

 
Step 4: Please return form to Downside Up’ s postal address: TNT Int’l Mail, MOW/MOW/10012/242, P.O. Box 66, HOUNSLOW TW5 9RT, UK

 

Banker’s Order Form

Please pay Downside Up USD or £ or Euro: __________________
(in words)__________________________________________
one time_____ or
each month _____each year_______
Starting on ___/___/ 2003 until further notice (please make this date at least one month from now)

Signed _________________ Date_____________

Debit my account no.: __/__/__/__/__/__/__/__/__/__/__/__/
Sort code: __/__/ __/__/ __/__/
To the Manager (bank name and address):
………………………………………………………………
………………………………………………………………
…………………………………….Postcode……………..

 
FOR OFFICIAL USE ONLY: Please pay to Downside Up Limited at Nat West Bank, Holborn Circus,
1 Hatton Garden, London EC1P 1DU
Sterling account number: 691 300 86
Dollar account number: 061 63 157
Euro account number: 080 85 315
Sort code 56 00 20
Please quote our reference code:
__/__/__/__/__/__/__/__/
Please return this form to Downside Up and NOT to your bank. THANK YOU!