Standing Order Form Please complete the following form and submit to set up a standing order. Standing Order Form Your Details Please complete the following form and submit to set up a standing order. Title Forename(s) Surname Address Address Address Address Address Address Address Telephone Email Communications Opt Out I do not wish to receive further communications from James Hopkins Trust Standing Order Authority Please pay: The James Hopkins Trust Bank: Lloyds Bank, Lydney Sort Code: 30-95-29 Acc. Number: 00068742 Amount £ Date of First Payment Account Name Bank Name Bank Address Bank Address Bank Address Bank Address Bank Address Bank Address Bank Address Bank/Building Society Account No. Sort Code Continue Payments Opt In Continue payments until further notice Gift Aid James Hopkins Trust can claim back the tax on your donation if you are a UK taxpayer, with no cost to you. Please sign below to confirm that you are happy for us to claim from the UK Government the tax that you have already paid on your donation (currently 25 pence for every £1 you give). I am a UK taxpayer and would like James Hopkins Trust to claim back the tax on my gift. Signature Please type full name Date Submit If you are human, leave this field blank.