Grayshott Village Hall - Friends Scheme

Grayshott Village Hall - Friends Scheme
I wish to become (please tick one box}:*

A Friend of Grayshott Village Hall (minimum donation of £30.00 per annum)A Lifetime Friend of Grayshott Village Hall (one-off donation of a minimum of £300.00)
Title*
Name*

First Name(s)Last Name
Address*

Street Address

Street Address Line 2

CityCounty

Post Code
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: 00000 000000.
Signature
Date*

DayMonthYear
Gift Aid (please tick one box)*

I want to Gift Aid my current donation and any donations I make in the future to the Grayshott & Hindhead Institute and Village Hall. 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.I do NOT want to Gift Aid my donation
I would like to donate £ * (Please insert amount).
I will make payment by:*

One-off BACS paymentAnnual Standing Order
Bank details for BACS & Standing Order:

Account Name: Grayshott Village Hall

Sort Code: 30 93 94

Account: 07110860

Reference: Please quote your surname.
I confirm that I will notify you if I want to cancel my gift-aid declaration*

I agree
I confirm that I will notify you if I change my name or home address.*

I agree
I confirm that I will notify you if I no longer pay sufficient tax on my income/capital gains*

I agree
If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue & Customs to adjust your tax code.

Grayshott & Hindhead Institute & Village Hall

Reg Charity No: 301837.
Should be Empty: