Please treat: *

(Please select one option below)

All gifts of money that I make today and in the future as Gift Aid donations: OR

All gifts of money that I have made in the past four years and all future gifts of money that I make from the date of this declaration as Gift Aid Donations.

I confirm: *

(Please tick the box below)

I confirm I have paid or will pay an amount of Income Tax and/ or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

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Country