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Direct donation from a Lodge/Chapter account

Please note that this payment form must be completed by the Lodge or Chapter Treasurer, and the payment must be completed via Open Banking.

Please enter all forenames as they appear on your Grand Lodge Certificate.
Please enter your surname as it appears on your Grand Lodge Certificate.
Full postal address including postcode
Are you making this donation from a Lodge or from a Chapter?
Begin typing your Lodge name, then ensure you select the correct Lodge from the list. It is vital that you select the correct Lodge, otherwise your donation will not be credited correctly.
Begin typing your Chapter name, then ensure you select the correct Chapter from the list. It is vital that you select the correct Chapter, otherwise your donation will not be credited correctly.
£

I confirm that I am the Lodge/Chapter Treasurer, and that either:

(a) this donation is solely made up of either surplus amounts which have arisen as part of the Lodge's/Chapter’s normal activities (e.g. dining and membership) or from a specific fundraising event and not from any other income source,

OR

(b) where any part of the money has arisen from returns on or disposals of investments (including any form of rent and property income), all amounts due to HMRC (or the relevant tax authority in the Lodge's/Chapter's jurisdiction) have been declared and paid in full, without any deduction taken for this donation. I also confirm that I am aware of the current HMRC (or relevant tax authority) position relating to taxation of investment income by clubs.

The contact data you provide on this form will be used to contact you if we have any queries about the donation