Donation Form Please print this form. |
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I enclose a donation of £..........................
Name (Title):......................................................................................
Address:.............................................................................................
.........................................................................................................
.........................................................................................................
Post code:..........................................................................................
Telephone number:.............................................................................
Gift Aid Declaration:
Amount......................Donor's Name:................................................
Donor's Address:..............................................................................
......................................................................................................
Declaration: I want the charity to reclaim tax on my Gift Aid Donation. I confirm that I pay income tax (or capital gains tax) equal to the tax paid on the donation, (28p for every £1 donated).
Signed:........................................................................................... |
Please send donation to:
Children of Chernobyl Fund - Wells Area
P.O. Box 3150
Radstock BA3 4WD
Thank you for your support.
For more information, please e mail us on: childrenofchernobylwells@hotmail.com |
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