Cease regular giving

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Please enter the name of the individual account holder. Please do not complete this form for anyone else, even if they are a spouse and / or you share a joint bank account’. We can only take instructions on existing accounts from the person named on the account. Naturally, this is relaxed if the named account holder is either incapacitated or deceased. In these circumstances, please add a note in the comment field.

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Title:
Usual name:
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Address 1:
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Address 4:
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RGS number:
Date of last payment:	(YYYY-MM-DD)
Do you need a statement for your giving to date?:	YesNo
Please can I have my statement:	For my giving this calendar year, nowFor my giving this calendar year, after St Mary's has claimed tax reliefFor my giving this financial (tax) year, nowFor my giving this financial (tax) year, after St Mary’s has claimed tax reliefAt the end of the financial (tax) year, as usual
Delivery method:	E-mailPost
Additional comment or request:
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