Shen Place Almshouses

Gift Aid Form

I wish Gift Aid to apply to the enclosed donation of £............. and to all future donations that I make and I confirm that I will pay in this tax year and all future years an amount of Income Tax and Capital Gains Tax at least equal to the amount that all charities and Community Amateur Sports Clubs will reclaim against my gifts to them this year and in all future years. This authority shall subsist until I cancel it in writing.

Full Name .....................................................................................................
Address 1 .....................................................................................................
Address 2 .....................................................................................................
Address 3 .....................................................................................................
Post Code .....................................................................................................
Signature .....................................................................................................
Date .....................................................................................................
 

Please print off this page (just press "Ctrl" and "P" simultaneously on your keyboard), complete the form and send it with your cheque to our Treasurer.