GIFTAID DECLARATION FORM

GIFTAID DECLARATION FORM

Please complete this form if you are a UK taxpayer and would like CMIAID to claim GiftAid on your giving.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal CodeCountry
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Declaration*

As a UK taxpayer, I would like CMIAID to treat all donations I made over the last four years, and those made from the date of this declaration, until I notify you otherwise, as GiftAid donations. I confirm that I have paid an amount of income tax and/or capital gains tax equal to the tax that will be claimed.
Signature*

Clear
Date*

DayMonthYear
Date
Should be Empty: