Regular gift donations We also accept single donations. Please remember that the fields below which are marked with a * are required fields. Direct Debit Payment Please enter your payment information, then click 'Submit'. Items marked with an asterisk * must be completed. Your Name Title: * Please SelectMrMrsMr & MrsMsMissDrProfessorCanonReverendSirLordLadyOther Forename: * Surname: * Your Address Address Line 1: * Address Line 2: Town/City: * County/State: * Postcode: * Country: * Australia Belgium Canada Denmark France Germany Hong Kong Ireland Italy Japan Netherlands New Zealand Norway Singapore Spain Switzerland Thailand United Kingdom USA Your Contact Details Telephone Number: Please SelectHomeMobileWorkOther Additional Telephone Number: Please SelectHomeMobileWorkOther Email address: * Confirm Email address: * Direct Debit Mandate THE PRIMROSE CENTRE Primrose Centre 3 Prudence Lane Farnborough Kent BR6 8RE Instruction to your bank or building society to pay by Direct Debit. Name(s) of Account Holder(s): *(Exactly as it appears on your bank statement) Bank/Building Society Account Number: *(should be a maximum of 8 numbers) Branch Sort Code:*(no hyphens or spaces) Instruction to your Bank or Building Society Please pay The Primrose Centre Direct Debits from the account detailed in this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with The Primrose Centre and, if so, details will be passed electronically to my Bank/Building Society. Banks and Building Societies may not accept Direct Debit Instructions for some types of account The Direct Debit Guarantee This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits. If there are any changes to the amount, date or frequency of your Direct Debit The Primrose Centre will notify you 14 working days in advance of your account being debited or as otherwise agreed. If you request The Primrose Centre to collect a payment, confirmation of the amount and date will be given to you at the time of the request. If an error is made in the payment of your Direct Debit, by The Primrose Centre or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when The Primrose Centre asks you to. You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us. Payment Details I agree to pay The Primrose Centre:* Frequency: Start date: * Gift Aid If you pay any tax at all, even on savings, The Primrose Centre can reclaim the tax you have paid on your donation through Gift Aid. Just read and confirm the statement below: I am a UK taxpayer and I would like The Primrose Centre to treat this donation I have made to The Primrose Centre as a Gift Aid donation. I am currently paying income tax or capital gains tax that is equal to or more than the tax deducted from my donation. For more information on Gift Aid click here. I have read and agreed to the above.