Holly Hedge Animal Sanctuary
Wild Country Lane,
Barrow Gurney,
North Somerset BS48 3SE
(01275-474719)
Registered Charity Number 294606

It is becoming increasingly expensive to maintain the high standards we have set for
Holly Hedge Sanctuary. The pressure of life today means not only that there are more
animals being given up but also that new homes are harder to find. This means that the
average length of stay is longer. If you would like to help us to ensure that these
unfortunate animals have a much brighter future please would you consider setting up a
regular donation by completing the Bankers Order Form below and sending it to us.

BANKERS ORDER FORM


To: The Manager, Bank


Address:

Please pay to National Westminster Bank plc, Bristol City Office Branch

for the credit of:


HOLLY HEDGE SANCTUARY       Sort Code: 56-00-05 A/C No: 21229015


The sum of � on (date) and thereafter monthly until further notice.


Name: (Capital Letters)


Address





Signature: Date


Bank Account No:

(please quote above name on inter-bank credit for reference)

GIFT AID
If you pay income tax and would like to treat these donations as gift aid donations,
please tick the box below. This will enable us to claim from the inland revenue, tax
at the current rate of 28p for each �1 you give.                               

This form complies with our policy under the Data Protection Act