First name (Required)
Last name (Required)
Mobile number (Required)
Address line 1 (Required)
Address line 2
You Will need your account details, which can be found for example on your bank statement to complete the Direct Debit Instruction.
Account Name (Required)
Sort Code (Required)
Account Number (Required)
Is the Account in your name?
Are you the only signatory required to authorize this Direct Debit?
In order to set up Direct debit, You must be the sole owner of an account and you must be the only signatory required to authorize this Direct Debit
Because you answered "NO" to one or both of the questions on the previous screen you will need to complete a paper Direct Debit Instruction DDI.
Paper Direct Debit Instruction (DDI) is not allowed at this moment to set up your monthly Direct Debit donation online.
Please contact us at firstname.lastname@example.org for more information about how you can set up a paper Direct Debit Instruction.
Please review the Direct Debit details below, and make any amendments necessary.
Instruction about your bank or building society.
Please pay Salam Charity Direct Debits from the account detailed in the instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this instruction may remain with Salam Charity and if so, details will be passed electronically to my bank or building society.
The confirmation letter incorporating your Advance Notice will be received by you no later than 10 working days prior to the first collection date.
We would like to keep you informed about our projects and activities by email, post and telephone. However, if you would rather not receive such information, please email us at email@example.com, or write to 483 Green Lanes, London N13 4BS, United Kingdom.
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Salam Charity USA is a 501 (c)(3) non profit organisation (Tax ID #84-2088728)
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