Yes, I would like to adopt a mother
Full name:_____________________________________________________________________
Address:______________________________________________________________________
___________________________________________________________Postcode:__________
Telephone / Email: ______________________________________________________________
By standing order
Your bank’s name:_________________________________________________________________
Your bank’s address:_______________________________________________________________
____________________________________________________Postcode:__________
Account holder(s):_________________________________________________
Account number: __________________________________________________
Sort code: ________________________________________________________
To the Bank Manager; Please pay CINI UK, Acct. No: 00086541; Sort code: 40/52/40;
At CAF Bank Ltd. Kings Hill, West Mailing,Kent, ME19 4TA
£________ on ______/______/______ and each month / quarter / year* until further notice (* delete as applicable)
Signature:__________________________________________________
Date:_____________________
__ Please tick here to confirm if you are a UK income or capital gains tax payer and would like CINI UK to Gift Aid the donations you make to CINI UK, increasing their value to the donation by 28p in the pound