MY GIFT AID DECLARATION *

Please read the below information and complete the form. Gift Aid is a national scheme which benefits charitable organisations. This scheme has great potential to help us move the church forward. To help us claim Gift Aid on your donation (currently 25p in every pound). We appreciate your diligence in always including your Gift Aid on every contribution. You must pay an amount of Income Tax / Capitals Gains Tax at least equal to the tax that the charity reclaims in the tax year. Does this apply to you?

Yes

No

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Date of Birth *

MM

DD

YYYY

Phone

(###)

###

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I would like this gift aid to cover *

Past donations

Present or future donations

A single donation

Please notify us if you change your name or address at office@potterschurch.co.uk *

I understand

You can cancel this declaration at any time by notifying us at office@potterschurch.co.uk *

I understand