200 Club Mandate Form

Please pay to the account of the Sheriffs’ & Recorder’s Fund, a/c no. 10842508, sort code 20-10-53, Barclays Bank PLC, Bloomsbury & Tottenham Court Road Branch, PO Box 113345, London W12 8GG to the sum of (suggested minimum £200):
Donation Start Date(Required)
Please enter your desired date for your first donation, this will repeat annually until further notice.
Name(Required)
Address(Required)
Gift Aid Declaration(Required)
I should like the Sheriffs’ & Recorder’s Fund (Charity Commission reference 221927) to reclaim the tax I have paid on this donation, and on all future donations. I am a UK taxpayer and note that I must have paid at least as much income tax or CGT as will be reclaimed. Please treat this and all future payments as Gift Aid donations.