Name *

First Name

Last Name

Address *

Address 1

Address 2

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Gift Aid *

I am a UK taxpayer and would like to Gift Aid my donations now and in future. I understand I must pay enough income tax and/or capital gains tax each tax year to cover the amount of Gift Aid that all charities claim on my donations in that tax year, and I am responsible for paying any difference. Please remember to let us know if your tax status, name or address change or if you wish to cancel your Gift Aid declaration.

Yes

No