Registration

All Instructions are supported by the Direct Debit Guarantee. In order to set up a Direct Debit online you must be the account holder of a personal or business bank or building society account.

Name:

Southampton Hospitals Charity

Address:

Mailpoint 135 Southampton General Hospital Southampton Hampshire SO16 6YD

Telephone Number:

0203 8120 8881

Email:

hello@southamptonhospitalscharity.org

Payment Schedule

Payment Plan:

End:

Until further notice

Payment Information

Payment day:

2025

I wish to pay a regular Direct Debit of:

Contact Information

Title:

First Name:

Last Name / Company Name: *

Initials:

Post code:*

Address line 1: *

Address line 2:

Address line 3:

Address line 4:

Town/City:*

Telephone Number:

Mobile Number:

Email:*

Instruction to your Bank or Building Society to pay by Direct Debit

Southampton Hospitals Charity, Mailpoint 135 Southampton General Hospital Southampton Hampshire SO16 6YD

Service User Number:

Account holder's name:*

Account number:*

Sort code:*

NOTE: Your account number and sort code will identify your bank and branch address.

Instruction to your Bank or Building Society
Please pay BPS re: SOUTHAMPTON HOSPITALS Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with BPS re: SOUTHAMPTON HOSPITALS and if so, details will be passed electronically to my Bank/Building Society.

NOTE: Banks and Building Societies may not accept Direct Debit Instructions for some types of accounts.

19/12/2024

The Direct Debit Guarantee

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits
If there are any changes to the amount, date or frequency of your Direct Debit BPS re: SOUTHAMPTON HOSPITALS will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request BPS re: SOUTHAMPTON HOSPITALS to collect a payment, confirmation of the amount and date will be given to you at the time of the request
If an error is made in the payment of your Direct Debit, by BPS re: SOUTHAMPTON HOSPITALS or your bank or building society, you are entitled to a full and immediate refund of the amount paid from your bank or building society. If you receive a refund you are not entitled to, you must pay it back when BPS re: SOUTHAMPTON HOSPITALS asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

GiftAid

If you are a UK tax payer we could claim Gift Aid on your donation and receive an extra 25p for every £1 you give!

YES I am a UK tax payer and I wish Southampton Hospitals Charity to claim Gift Aid on all donations I have made over the past four years and all future donations.

I understand that if I pay less income tax and/ or capital gains tax in the appropriate tax year than the amount of Gift Aid claimed on all my donations, it is my responsibility to pay any difference.

You can cancel your declaration at any time, and you must inform us if your name, address or tax status changes.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Check Authorisation

You must tick the box to continue

Please confirm that you are the only person required to authorise debits from this account.
If you are not the only person required to authorise debits you will need to complete a paper Direct Debit Instruction. Please contact us to discuss.

* Denotes a mandatory field