DEED OF COVENANT

I promise to pay Small Faces Charitable Trust for _____ years, or during my lifetime if shorter, such a sum as after deduction of income tax at the basic rate amounts to £ _________

Each (week) (month) (quarter) (year)

From (the date shown below) or (________________)

Signed and delivered:
Date:
Full Name:
Address:

Witnessed by:
Signed:
Full Name:
Address:
Notes:
  1. Enter the period of the covenant, which must be longer that three years. In practice charitable covenants should be written to last a minimum of four years
  2. Enter the amount you will be paying to the charity.
  3. Delete as appropriate to show how often you will make the payment
  4. Delete as appropriate. If you choose to enter an actual date it must not be earlier than the date you sign the deed.
  5. You must sign the form and enter the date you actually sign it in the presence of the witness, you should also sign where shown.
  6. If you choose to pay by credit card, please insert your card details below which should include account number and your card expiration date.

Please charge my      Visa      /      MasterCard       (circle as appropriate)

Credit Card Number
Expiration Date
Name on Credit Card
Total Amount of Charge

PLEASE PRINT AND POST OR FAX TO +44-(0)1483-272-671