Regular Giving Form

 Title: Full Name:


Post Code:

In grateful thanks for all the gifts that a generous God has given to me, I would like to make a regular contribution to the work of St Mary's, Bloxham by the following method (please tick the appropriate box):

Standing order from my bank using the Standing Order form below.

Regular offering envelopes (if you tick this box a set of uniquely numbered weekly envelopes will be provided to you).     The amounts you give each week can be flexible.



To the Parochial Church Council of St Mary's Church:

Please treat as Gift Aid donations all qualifying gifts of money made from the date of this declaration and in the past four years. I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year(6th April to 5th April) that is at least equal to the amount of tax that all the charities(including churches) and Community Amateur Sports Clubs 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.

(If you have any questions about the tax position with regard to the gifts please contact the Treasurer or Stewardship Administrator).


Standing Order:
To the Manager: Bank of

Please pay to St Mary's Church, Bloxham at Santander Bank

Sort code 09-01-51. Account number 02119309, the sum of £(pounds) commencing on theday of20and on the same day in each month/quarter/year* until further notice.

*Delete as applicable.

My Account Name:

My Account Number:Sort Code:

This order cancels the existing Banker's Order to St Mary's Church for £next payable on(date).



If you have already set up the standing order with your bank please tick here otherwise the church will forward the standing order to the bank.

Please email completed forms to the Stewardship Administrator or post to : Stewardship Administrator, St Mary's Church, Church Street, Bloxham, OX15 4ET.