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Donation form Mr
/ Mrs / Miss / Ms : ______________________________________
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***please
complete this section if you are a UK taxpayer *** |
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GIFT
AID DECLARATION
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. |
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*(A) I WISH TO MAKE
A SINGLE DONATION BY CHEQUE AND ENCLOSE A CHEQUE FOR THE SUM OF:
£ ________ To: The Manager,
____________________________________ Bank
Either 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: 1257498 Signature: _______________________ Date: ___/___/___ |
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