PLEDGE TO “SOLIDARITY WITH SOUTH SUDAN” _______________________________ ________________________________ Name of signatory ___________________________________ Full Name (congregation/organisation/individual) E-mail contact address ____________________________________ Position (if applicable) Full address: __________________________________________________________________________ I/we pledge a donation to Solidarity with South Sudan of € _______ $_______ I/we intend to fulfil its pledge in the following manner: Annually for five successive years This amount will be paid into the bank account: In Euros € £_______ In one single payment In US$ Dollars UK £ Sterling Signature _____________________________ DONATIONS Donations can be made worldwide by using the bank details below. If you require clarification about how to donate please contact us. On-line Donations can also be made via the Solidarity with South Sudan website: www.solidarityssudan.org DETAILS FOR MAKING TRANSFERS/DEPOSITS PLEASE NOTE: Any transfer or deposit must include the words “FOR CHARITY” within the description. Euro and UK Sterling donations: For the purposes of financial transparency Solidarity with South Sudan is now a registered charity in both Italy (C.F. 97691200584) and the UK. (Co. Code: 01205883, Registered Charity No 1154872). Bank accounts are now established in both jurisdictions and annual reports will be submitted as required. As the UK Charity system is more flexible we would be grateful if those sending donations electronically in Europe or the UK would consider sending their donation to the AIB (UK) Bank - details are provided below. Donations are also accepted in Banca Prossima. AIB Bank (UK) Account Name/Cheque payable to: Solidarity with South Sudan Ltd Postal Address: No 2 The Towers, Buckden, Cambridgeshire, PE19 5TA, United Kingdom Bank Name: Allied Irish Bank (GB) Bank Address: AIB, Birmingham City Office, 61 Temple Row, B’ham, B2 5LT Sort Code: 23 83 93 Account Number: 02034016 IBAN: GB79 AIBK 238393 02034016 SWIFT: AIBKGB2L Banca Prossima – Italy Account Name/Cheques payable to: Italian Solidarity with South Sudan – ONLUS Postal Address: Piazza di Ponte S.Angelo 28, 00168 Roma Italia Account Number: 1000/00066112 Bank Name: Banca Prossima (Intesa SanPaolo) Bank Address: Piazza Paolo Ferrari 10, Milano 20121 Branch No.: 05000 IBAN: IT66 T033 5901 6001 0000 0066 112 BIC/SWIFT: BCITITMX US Dollar donations – in the US or Italy: The process of securing 501(c)3 status in the USA has started. In the meantime the IBVM Provincial Bursar at Wheaton, IL is lodging US donations in a dedicated bank account. Solidarity account with IBVM Wheaton, IL – USA Checks made payable to Solidarity With South Sudan can be sent for the attention of Sr. Barb Nelson at the following address: Att. Sr. Barb Nelson, IBVM Loreto Convent, P.O.Box 508, Wheaton, IL 60187-0508, USA Banca Prossima – Italy Account Name/Checks payable to: Italian Solidarity with South Sudan – ONLUS Postal Address: Piazza di Ponte S.Angelo 28, 00168 Roma Italia Account Number: 1610/09358110 Bank Name: Banca Prossima (Intesa SanPaolo) Bank Address: Piazza Paolo Ferrari 10, Milano 20121 Branch No.: 05000 IBAN: IT72 O033 5901 6001 6100 9358 110 (NOTE: LETTER O not the number zero - 0) BIC/SWIFT: BCITITMX IN ALL CASES: WHEN SENDING A CHEQUE/CHECK OR MAKING WIRE TRANSFERS: Please send an email to the Rome Office [email protected] stating the amount, and the account into which you have made a transfer, your name/congregation and tax/fiscal code if available and the address to which we can send receipts. Thank you. c/o UISG, Piazza di Ponte S. Angelo, 28 - 00186 Rome, Italy Website: www.solidarityssudan.org Tel: +39.06.6840.0223 - Email: [email protected]