Account Holder Name * As shown on your Bank Account Country of residence * We can process Direct Debits from the following countries United Kingdom United States Australia Austria Belgium Canada Cyprus Denmark Estonia Finland France Germany Greece Ireland Italy Latvia Lithuania Luxembourg Malta Monaco Netherlands New Zealand Portugal Slovakia Slovenia Spain Sweden Amount * £ Interval Monthly Weekly Yearly Time frame Indefinitely One-off donation For 1 year For 2 years For 3 years For 4 years For 5 years Your Sort Code Must be 6 digits long Your Account Number Must be 8 digits long Optional: International Bank Account Number Or for international accounts (outside UK), enter your IBAN Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Gift Aid * Are you a UK taxpayer, eligible for Gift Aid and can we claim Gift Aid on your behalf? Yes No Direct Debit Authorisation * I can authorise Direct Debits on this account myself and request that the Adam Smith Research Trust process this Direct Debit on my behalf through GoCardless Comments Optional field for anything you might like to share with the team (e.g. interest areas, queries about donations etc.) Thank you for your generosity! You will receive confirmation of your Direct Debit once it has been processed.