For office use only

Personal Information (Please complete this form in BLACK ink and using BLOCK CAPITALS')

Title: Forename(s): Surname:

Address:

Postcode:

Uni/College: Course studied: Graduation Year:

Tel:* Email:*

*Please provide these details if you are happy to be contacted in these ways.

My Giving
Relay Workers depend on God to provide for the ministry they fulfil.
He does so in a variety of ways, but mainly through his people - individuals, churches and trusts. It costs, on average, around
£6,000 to cover the living and ministry expenses of a Relay Worker. As a guide, this equates to 10 people giving £25 per month, 15
people giving £15 per month and 20 people giving £5 per month for the 10 months of the Relay programme.

Gift Aid Declaration

*I want UCCF to treat all donations I make from (date) *I want UCCF to treat this donation of £
D D M M Y Y Y Y dated D D M M Y Y Y Y as a Gift Aid donation.

as Gift Aid donations, until I notify you otherwise.

(*Delete as applicable)
• You must pay an amount of income tax and/or capital gains tax • You can cancel this declaration at any time by notifying us.
at least equal to the tax that UCCF claims in the tax year. • There is a restriction on giving to a Relay Worker by someone who is a
• If you are married and both pay tax, please ask for and complete separate close relative (by blood or by marriage). Tax can be reclaimed by UCCF
declarations. Otherwise, please ensure that all gifts (especially made from a but it cannot be transferred to the Relay Worker. Please indicate in the
joint bank account) are signed by the person named above. Gift Allocation section how you would like the reclaimed tax to be used.

Single Gifts
Please accept my gift of £ (Please make cheques payable to UCCF)

Please debit my: Mastercard Visa Charitycard Maestro (UK only) Solo

Card No:

Signed: Dated: Start Date: Expiry Date:

Issue No (Maestro/Solo only):

Regular Gifts - Standing Order

Please complete the following Standing Order form and send to UCCF, not direct to your bank.
Note: it cannot be operated on a credit card account.
Please pay to HSBC Bank plc, Sort Code: 40-28-08, Account Number: 01037250, for the credit of UCCF.

The sum of £ on the day (number) of each month/quarter/half year/year [leave only one]

until further notice or until D D M M Y Y Y Y First payment to be made on D D M M Y Y Y Y

Name (BLOCK CAPITALS) Date

Sort Code - - A/c no

Name and address of your bank/building society Signed

(as stated on your cheque book)

This Standing Order (tick one) Quoting Reference

is a new order
replaces my existing order
For office use only
Postcode is in addition to my existing order
 Gift Allocation Please indicate below where you would like your gift(s) to be allocated.

Please allocate my gift(s) to the following Relay Worker(s) Amount

£
£
£

From time to time Relay Workers encounter financial difficulties and UCCF has a limited fund from which grants can be made. If you would like to help
needy Relay Workers please allocate your gift towards the Relay Worker Assistance Fund. The Relay Programme is also run by two full-time staff whose
salaries need to be covered by donation income. If you would like to help us to continue providing the best possible support and training for Relay
Workers, please allocate your gift towards Relay Programme Costs.
Amount
Relay Worker Assistance Fund £
Relay Programme Costs £
There is a restriction on giving to a Relay Worker by someone who is a close relative (by blood or by marriage). Tax can be reclaimed by UCCF but it
cannot be transferred to the Relay Worker. If you are a close relative to the Relay Worker you are supporting, and you are willing for us to reclaim
tax on your donation(s), please indicate below how you would like the reclaimed tax to be used.

Relay Worker name (non-relative)

Relay Worker Assistance Fund
Relay Programme Costs

My Praying
Prayer is the life-blood of UCCF.
We are thankful for the regular prayer support of thousands of people, who pray personally and in groups.
I would like to receive regular news from UCCF and also partner in the ministry:
You do not need to tick here if you already receive these publications.
By receiving the UCCF magazine, nbnews
By praying for students via the Focus Prayer Diary
By praying for international students using the International Student Prayer Diary
By joining my local UCCF Prayer Group
By becoming a Friend of the CUs in (town/city)
The final option above is available by post or email, please indicate by which means you would like to receive it.
Email Post
Please return this form, with any gifts, to: UCCF, FREEPOST, LE3047, LEICESTER, LE1 7ZL.

If you have any questions not answered by this leaflet, please write to UCCF, 38 De Montfort Street, Leicester, LE1 7GP,
Phone 0116 255 1700, or Email email@uccf.org.uk. Web www.uccf.org.uk Registered Charity No. 306137

Thank you for your support

Thank you for your interest
in supporting the work of
UCCF: The Christian Unions
through the Relay discipleship
and training programme.
We invite you to stand with us in fulfilling
our aim of helping Christian students to
live for Jesus and speak for Jesus.