Donation/Gift-aid Form

If you are a UK taxpayer and eligible to Gift Aid your donation, please complete the declaration below. This will increase your gift by 25p for every £1 given at no extra cost to you or us. Thank you.

If you dont qualify for Gift Aid please still complete the form below.

Please set up your payment with your Bank to the following account.

Lloyds Bank, Hartlepool

Sort code: 30-99-47 Account No: 00809689

Iban No GB52 LOYD 3099 4700 8096 89 and the Bic No LOYD GB 21438 if required

Ref :- Donation and your Name

Please treat as Gift Aid donation *

I do not Qualify for Gift Aid

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Full Name *

Address *

Postcode *

Signiture *

Date *

I wish to donate (Amount in Â£) to the Kilimatinde Trust *

By *

Bank Transfer

Direct Debit

Standing Order

Cheque

Just Giving

This Payment is :- *

One off

Monthly

6 Monthly

Annually

Start Date of Regular Donation

I wish my donation to be directed to :- *

General Funds

Hospital

St Johns School

Comments

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