Gift Aid Declaration

(Please complete and return this form if you pay Income Tax)

THANK YOU FOR YOUR HELP

To:
" Friends of St Mary Magdalene Church Bitchfield"
Glebe House
Lower Bitchfield
GRANTHAM
Lincolnshire
NG33 4DZ

Mr/Mrs/Other Title_________________________________________________

Christian Name & Surname__________________________________________

Address__________________________________________________________

________________________________________________________________

________________________________________________________________

Post Code________________________________________________________

GIFT AID DECLARATION

I would like the Charity (Friends of St Mary Magdalene Church Bitchfield registered no 1096368) to reclaim tax under the Gift Aid Scheme on all monies I give (by cheque, Bank Order or Donation) from 6th April 2003. I note I must pay enough tax on my income or capital gains to cover the tax you or any other charities will be reclaiming.

Signed by _________________________________________________________

Name (Please Print) _________________________________________________

Date _____________________________________________________________