Affiliate Membership and Donation Form
Title……………. First Name.…………………………Last Name…………………………………….
Address………………………………………………………………………………………………….....
Postcode………………..Email…………………………………………………………………………...
Contact number…………………………………………………………
Please tick the appropriate box:
☐ I have set up a standing order for YF Affiliate Membership for a monthly payment of £8
☐ I have set up a standing order for YF Affiliate Membership for an annual payment of £96
☐ I want to make a one-off donation of £……. to The Young Foundation
When setting up a standing order, your bank will require the following information:
Account Name: The Young Foundation
Bank Name and Address: HSBC, 465 Bethnal Green Road, London, E2 9QW
Account No: 31011316 Sort code: 40-01-18
Please quote as reference ‘YOUR SURNAME’ – followed by the word ‘Affiliates’
Please fill in this form and email it to: tufel.miah@youngfoundation.org
Or post it to: The Young Foundation, 18 Victoria Park Square, London, E2 9PF
___________________________________________________________________________________
Your payment could be eligible for Gift Aid
Please tick and date the section below if you wish this payment to be treated as a Gift Aid donation.
☐I want all donations I have made to The Young Foundation in the past 4 years, and any donations I
make in the future, to be Gift Aided until I notify you otherwise.
To qualify for Gift Aid, you must pay UK Income Tax and/or Capital Gains Tax at least equal to the tax
that the charity reclaims on your donations in the appropriate tax year. Tax year is 6 April to 5 April.
Signature……………………………………………………………….. Date……………………………
Thank you for your support
YF OFFICE USE ONLY
DATE FORM RECEIVED
STANDING ORDER INFO