Gift Aid Declaration Details of donor

Title ……Forename(s) …………………………………… Surname …………..................................

Homeaddress

 …………………………………………………………

……………… …………………………………………

…………………………………………………….......

Post Code ……………………

I want the charity to treat the enclosed donation of £ ……………… as a Gift Aid donation

Note: You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 28p for each £1 you give).

Date: ………/………/………