The West Yorkshire Forget Me Not Trust Payroll Giving Form

Please fill in the form below and give it to your Payroll Department, who will send your gift straight to us.

I would like to give the amount below to The West Yorkshire Forget Me Not Trust

Amount: £_______ weekly  monthly (please tick)


Name: _________________________________

Home Address: __________________________

_______________________________________

_______________________________________

_______________________________________

Postcode: ________________

Tel: _____________________

 

Employers Name: __________________________

Work Address: ____________________________

________________________________________

________________________________________

________________________________________

Postcode: __________________

Work Tel: __________________

Staff/Payroll No. (if known)_______________


Signature_______________________Date________

Please keep me informed about The West Yorkshire Forget-Me-Not Trust

The West Yorkshire Forget me not Trust Ltd,
Heritage Exchange,
Wellington Mills,
Lindley,
Huddersfield,
HD3 3HR

Thank You

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Registered Charity No. 1110457