keys logo The Parish Church of Great Berkhamsted St Peter

Registered Charity Number 1130108

Please complete the relevant sections of this form in full, print it and sign it where required.

This form is in three parts:

  1. Standing Order Form - instruction to your bank
  2. Christian Stewardship Financial Pledge - for church records
  3. Gift Aid Declaration - to enable the church to claim back tax

Please note: the information you enter onto this form is not stored on this website - you can type in the boxes just to make it easier for you to fill in before printing. If you prefer, print a blank form first and then complete it using a pen instead.

Bank Standing Order




Please debit my account:

and pay:

National Westminster Bank plc, 199 High Street, Berkhamsted HP4 1BH
For the credit of the

Stewardship Account of the PCC of Great Berkhamsted

Sort code 60-02-21      account number 51858304

Amount in words

and on the same day each month thereafter until further notice




Christian Stewardship Financial Pledge

To the Stewardship Recorder (confidential)

Phone number



Date of pledge

Gift Aid

giftaid itDo you pay income tax?

If you are a UK taxpayer and eligible to Gift Aid your donation, please complete the form below and give it to Stewardship Recorder or post it to the Parish Office. This will increase your gift by 25p for every £1 given (at current rate), at no extra cost to you or us. Thank you.

Gift Aid Declaration

Please treat as Gift Aid donations all qualifying gifts of money made to St Peter's Church from the date of this declaration and in the past four years.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities (including churches) and Community Amateur Sports Clubs that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give.



  1. Please notify the church/charity if you:
    • Want to cancel this declaration
    • Change your name or home address
    • No longer pay sufficient tax on your income and/or capital gains. Gift Aid is linked to basic rate
      tax. Basic rate tax is currently 20%, which currently allows charities to reclaim 25 pence on
      the pound.
  2. Higher rate taxpayers can claim back the difference between basic rate and higher rate or additional
    rate tax. If you pay Income Tax at the higher or additional rate and want to receive the additional
    tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return
    or ask HM Revenue and Customs to adjust your tax code.

When you have compled the form…

Click this button to print the form:

post it to:

St Peter's Parish Office
Church Lane

If you prefer to hand the standing order directly to your bank, please let know you have done this.