St. Aldate's Environmental Centre

Deed of Covenant*

In favour of The St Aldate's Environmental Trust.

Please complete and return this form to: The St Aldate's Environmental Trust, Finlay Road., Gloucester, GL4_6TN, England. Tel: +44 (0)1452 307007. Registered Charity No: 1045922

I promise to pay you for four years, or until I die if earlier, such a sum after deduction on income tax at the basic rate amounts to

£.............................. (in figures)

.............................. (in words)

each week / month / quarter / year (delete as appropriate)

from(date)..............................

(this date must not be before the date of signing)

This supercedes any previous deed (please delete if this is your first deed)

SIGNED and delivered..............................
Date of signing..............................
Full Name..............................
Address..............................
..............................
..............................
..............................

WITNESSED BY (not the spouse of the donor)
Signed..............................
Full Name..............................
Address..............................
..............................
..............................
..............................

Bankers Order