FULL NAME
ADDRESS
TELEPHONE / E MAIL
Declaration for
tax purposes:
I declare my
intention that tax should be recovered under the Gift Aid Scheme on all
donations I make to Aylsham Care Trust, 121 Norwich Road, Aylsham, Norfolk,
NR11 6JQ from the 6th April 2002.
I understand
that I must pay enough income tax or capital gains tax in each tax year to
cover the amount of tax that that the Aylsham Care Trust will claim on my
giving.
I have read
and understood the points listed below.
SIGNATURE DATE
Important
Points:
IF
YOU WISH TO GIVE TO THE AYLSHAM CARE TRUST ON A REGULAR BASIS PLEASE TICK THE
BOX AND WE WILL SEND YOU A STANDING ORDER FORM.
HAVING
COMPLETED THIS FORM PLEASE SEND TO:
THE AYLSHAM
CARE TRUST
C/O
MR REES COGHLAN MBE
121
NORWICH ROAD
AYLSHAM
NR11
6JQ