Donation form

Mr / Mrs / Miss / Ms : ______________________________________

Address : _____________________________________________________

Postcode: _____________   Tel: _______________________
 
 

***please complete this section if you are a UK taxpayer ***
Using Gift Aid means that for every pound you give, we get an extra 25 pence from the Inland Revenue, helping your donation go further.

 
 

GIFT AID DECLARATION
I am a UK taxpayer and wish all donations I make from the date of this declaration until I notify you otherwise to be tax effective under the Gift Aid scheme.

Signature : _____________ Print name: __________________
Date:__/__/__

Please notify us if you change your name and/or address, or if your circumstances change and you no longer pay an amount of income tax or capital gains tax equal to that which the fund will reclaim.

 
 

*(A) I WISH TO MAKE A SINGLE DONATION BY CHEQUE AND ENCLOSE A CHEQUE FOR THE SUM OF: ________

or

*(B) I WISH TO MAKE A REGULAR DONATION BY STANDING ORDER.

To: The Manager, ____________________________________ Bank
Address of Bank: ________________________________________________ ______________________________________________________________

Bank Sort Code: ____-____-____   Account number: _________________

Either
*Please pay the sum of ______ now, and subsequently monthly thereafter on the 1st day of each month
or
*Please pay the sum of _______ now, and subsequently annually thereafter
(*delete as applicable)

to the account of A.C.E. at

Lloyds TSB Bank, PO Box 8, Market House, Penzance TR18 2TN. Sort Code: 30-96-56 Account number: 01376071

Signature: _______________________ Date: ___/___/___

 
     
 
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