Full Name :      _________________________

 

      Address :     _________________________

                          _________________________

Gift Aid

 

I Want the St Cuthbert’s Centre

 to reclaim tax on this donation.

I am a U.K taxpayer and I note that

I must have paid an amount of income tax

 or capital gains tax, which at least equals tax

deducted from this donation.

 

      

      Signature :   _________________________

 

      Date :            _________________________

      

 

Registered Charity: No. 803638 Company Limited by Guarantee No. 2510482

Registered Office: 50 Philbeach Gardens, Earls Court, London SW5 9EB