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Service User Number: 861281

Instruction to your Bank or Building Society

Please pay Northern Ireland Chest Heart & Stroke Direct Debits from the account detailed on this instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Northern Ireland Chest Heart & Stroke and if so, details will be passed electronically to my bank/building society.

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Boost you donation by 25p of Gift Aid for every £1 you donate

Please tick the box below to allow us to reclaim an extra 25% on your donation.

*I am a UK tax payer and understand that if I pay less Income tax, and or Capital Gains tax than the amount of Gift Aid claimed on all my donations to all charities in that tax year, it is my responsibility to pay any difference.
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