Online Direct Debit Form

Please fill out the following form to make a donation to AGSD.

Boy's Name (Known As):* Boy's Surname: Boy's Form:*

Contact Information

This should be the person signing the Gift Aid Declaration (if applicable).

Title: First Name:* Surname:* House Number and Road:* Town:* County:* Postcode:* Email Address:* Contact Telephone Number:*

Donations

Please complete the following boxes to determine which funds you wish to make your donation to and how much you wish to make your donation for.

AGSD Pupil Fund

Administered by the Headmaster – used primarily to support extra-curricular activities.

Amount to donate each month (£):

AGSD Capital Fund

Administered by the Trustees of the Charity and used to provide funding for major infrastructure projects.

Amount to donate each month (£):

PFA (Lotto)

Funds raised by the PFA are used by the School to provide teaching aids, musical instruments, minibus procurement and a vast range of other essentials necessary to support the high levels of teaching.

Amount to donate each month (£):

Please tick this box if you wish to donate to the PFA but do NOT want to be entered into the lotto draw each monthI do NOT wish to be entered into the lotto draw each month

Total Donation

Please confirm the total donation you wish to make each month:

Please sign below to confirm that donations received from you by AGSD should be allocated to the funds indicated. In doing so, you consent to your personal data being passed between AGSD Ltd, the School and the Parents and Friends Association for administrative purposes. Our privacy policy under GDPR is available on our website agsd.org. Your bank details will be retained by AGSD Ltd only and recorded in an encrypted database.

Please note that you may receive emails from vaughan.bennett@btinternet.com concerning your contributions as he is the Trustee of the Charity who administers collections. Collections are made on or after the 28th of each calendar month and will continue until you cancel your direct debit.

Signed (Please enter your name in full)* Date

Gift Aid

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify.

I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008. Please notify us if you no longer pay sufficient tax on your income.

Please treat as Gift Aid donations all qualifying gifts of money made to Altrincham Grammar School Developments Ltd both now and in the future.

Signed (Please enter your name in full): Date:

Altrincham Grammar School Developments Ltd is a charitable company limited by guarantee. Registered in England – company number 03454310. Registered Charity Number 1071870.

Instruction to your Bank or Building Society to pay Direct Debits

Please fill in the whole form and return it to the School.
Direct Debits will be collected on or around the 28th of each month.
Originators Identification Number: 942658
Our reference: AGSD

Name and full address of your Bank or Building Society Branch including Postcode* Branch Sort Code (6 digits - XX - XX - XX)* Account Number (8 digits)* Name of account holder(s):*

Instruction to your Bank or Building Society

Please pay Altrincham Grammar School Developments Ltd 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 Altrincham Grammar School Developments Ltd and if so details will be passed electronically to my Bank or Building Society.

Signature(s) (Please enter your name(s) in full)* Date*

The Direct Debit Guarantee

• This Guarantee is offered by all Banks and Building Societies that take part in the Direct Debit Scheme. The efficiency and security of the Scheme is monitored and protected by your own Bank or Building Society.

• If the amounts to be paid or the payment dates change, Altrincham Grammar School Developments Ltd will notify you at least 10 working days in advance of your account being debited, or as otherwise agreed.

• If an error is made by Altrincham Grammar School Developments Ltd or your Bank or Building Society you are guaranteed a full and immediate refund from your branch of the amount paid.

Please retain for your own records. The company’s privacy policy under GDPR is available on our website agsd.org