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Please print this page, complete in BLOCK CAPITALS and post to us.

The Kambia Appeal Gift Aid Declaration

Registered Charity No. 1014034

Title………Forenames………………………………Surname…………………………………..

Address……………………………………………………………………………………………...

………………………………………………………………….Post Code………………………...

   
I want the Kambia Community Appeal to treat:
 

*  this donation of £......................., and any future donations, as Gift Aid Donations. 
This will apply until I notify you otherwise.

*  the donation(s) of £……………………which I made on ....../....../..... , and any future  donations, as a Gift Aid donation(s). This will apply until I notify you otherwise.
 

* delete as appropriate

Signature...............................................................   Date ............/............./.............

Notes

  1. If your donation covers donations you make in the future:
    Please notify The Kambia Appeal if you change your name or address while the declaration is still in force.
    You can cancel the declaration at any time by notifying The Kambia Appeal - it will then not apply to any donations you may make on or after the date of cancellation or such date as you specify.

  2. You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the Kambia Hospital Appeal reclaims on your donation in the year (currently 28p for each £1 you give.

  3. If in the future your circumstances change and you no longer pay tax on your income or capital gains equal to the tax which The Kambia Appeal reclaims, you can cancel your declaration (see note 1).

  4. If you pay at a higher rate of tax you can reclaim further relief in your Self Assessment tax return.

  5. If you are unsure whether your donations qualify for Gift Aid tax relief, ask the The Kambia Appeal or ask at your local tax office for leaflet IR113 Gift Aid.

Please print this form, complete it and post it with your donation to the address below. Cheques should be made payable to "The Kambia Appeal" and sent to

The Kambia Appeal, 78 Painswick Road, Cheltenham, Glos. GL50 2EU, England