Complete your monthly donation in memory

Your Direct Debit

Enter your bank account details to set up your monthly Direct Debit.

Account holder name

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Account number

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About you

Title

First name

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Address 1

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Email Address

What is your loved one's name?

They were my

We'll take good care of your personal info and you can update the way we contact you at any time - check out our privacy policy at blf.org.uk/privacy to find out more

Gift Aid

We can boost your donation by 25p for every £1 - with no extra cost to you

I am a UK taxpayer and I would like the British Lung Foundation to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. I understand that if I pay less income / capital gains tax than the amount of gift aid claimed on all my donations in the tax year in which they are received, it is my responsibility to pay any difference.

Direct Debit Guarantee

You must be the account holder of a personal bank or building society account, and the only person required to authorise debits. Otherwise, you can download, print and complete this form (PDF 200KB).

Declaration

I confirm I'm the account holder and only person required to authorise debits on this account

Payment will appear on your bank statement as 'British Lung Foundation'. Service user number: 245056.

This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.
If there are any changes to the amount, date or frequency of your Direct Debit the British Lung Foundation will notify you 10 working days in advance of your account being debited or as otherwise agreed. If you request the British Lung Foundation to collect a payment, confirmation of the amount and date will be given to you at the time of the request.
If an error is made in the payment of your Direct Debit, by the British Lung Foundation or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.
If you receive a refund you are not entitled to, you must pay it back when the British Lung Foundation asks you to.
You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.

Instruction to your bank or building society: Please pay British Lung Foundation Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with British Lung Foundation and, if so, details will be passed electronically to my Bank / Building Society.