D ONAT E YO UR Q UR BA NI

SHARE YOU R B L E SSI N GS

Your personal and contact details

Donation (Please select region)

Donor ID (if known)

Group 1 - Cow

Title

Group 2 - Cow

Name

Goat

Address

Sheep

No of Qurbani

Post Code

Add to your Qurbani

Card Payments

Eid Package

15

Pakistan Floods

50

Cardholders Name
Card Number as appears on the card
Expiry Date (mm/yy)

Issue Number

Start Date (mm/yy)

CVS Last 3 digits on the back

Signature

Date

Name(s) of Account Holder(s)

Signature

Bank Transfer/Cash Deposit

Bank: HSBC
Account No. 21651803
Sort Code: 40-15-17

Please ensure you inform our team

With your transfer so wan perform
Your Qurbani accordingly.

Instruction to your bank or building society

Please pay PSL re Minhaj Welfare 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 PSL re Minhaj Welfare and, if so, details will be
passed electronically to my bank/building society.

Direct Debit Guarantee

Account Number (8 digits)

Collection Date Please tick appropriate

GIFT AID
I authorise MWF to claim 25% on top of
my donation. I confirm that I pay income
or capital gains tax to the value of this
donation. MWF may claim gift aid on this
and all future donations.
I AGREE

Instruction to your Bank or Building Society to

donate by Direct Debit:

Sort Code (6 digits)

Total

Telephone/Mobile

Monthly Amount
1st

Date

15th

Donate by Cheque

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
HM Revenue & Customs will notify you 10 working days in
advance of your account being debited or as otherwise agreed.
If yourequest HM Revenue & Customs 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 HM Revenue & Customs 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 HM Revenue & Customs 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.

Please make all cheques

payable to: MWF and post

298 Romford Road,

London,
E7 9HD

Phone Donations
Call our donations team on

0300 30 30 777

(local rates apply)

one of our team will be more

than happy to help

Please moisten to secure gum. DO NOT POST CASH. Secure with tape if you are enclosing a cheque