Gift Aid Declaration Form - Chabad Southend

GIFT AID DECLARATION

If you are a UK tax payer please read and complete the form below.

GIFT AID DECLARATION:

If you are a UK tax payer, please complete the details below so that we can claim back 25p for every £1 you donate at NO extra cost to you. You must pay an amount of income/capital gains tax at least equivalent to the tax that the charity reclaims on your donations in the tax year. If your circumstances change in the future you can cancel your declaration.
I (please insert name)

First NameLast Name
Wish Chabad Lubavitch Centres NE London & Essex to treat my donation & all donations made within 4 years & 11 months of the date below until further notice.
Date*

DayMonthYear
Date
Signature*

Clear
Name*

TitleFirst NameSurname
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Telephone Number*
Email*
example@example.com
Chabad Lubavitch Centres NE London & Essex

Doris Shpiro House, 397 Eastern Avenue, Gants Hill, Essex IG2 6LR

Tel: 020 8554 1624 / Email: pa@chabadilford.co.uk / Website: www.chabadilford.co.uk
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