DONATION & GIFT AID FORM
Please complete and return to: I would like to make a donation of (insert amount) ……………………to the Centre for Complementary Care and I would like my donation to be used for (please tick):
I enclose my payment herewith by: (insert form of payment ie:
cheque/postal order/standing order, etc)
Name: ……………………………………………………………………………………………...……. Address: ……………………………………………………………………………………….….……. ……………………………………………………………………………………………………...…….. Telephone No: ……………………………………………………………………………..…….……. email address: ………………………………………………………………………………………….
Please reclaim the tax on all my donations to The Centre for Complementary Care, Eskdale made since the 6th of April 2000 and any I make from now on.
Dated: ……………………………..… 2004
(MAKE SURE YOU HAVE COMPLETED YOUR NAME AND ADDRESS ABOVE
Please return to: Moira Briggs, Manager, Centre for Complementary
Care,
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