Form-become a Friend

The Gipsy Moth Trust – Registered charity number 1142218

I would like to become a ‘Friend of Gipsy Moth IV’

Standing Order Mandate

Please pay the Gipsy Moth Trust the amount of £25 on the first day of (insert month), (insert year) and thereafter on the same date each subsequent year.

For the credit of:

Gipsy Moth Trust Ltd
Lloyds Bank,
Milton Keynes
Debiting my account (please complete bank details below)

Personal Details

Gipsy Moth Trust 83 Seaview Road, Cowes, Isle of Wight PO31 7UN