GIFT AID DECLARATION
THE CENTRAL
COUNCIL of CHURCH
Registered Charity Number: 270036
My Name ______________________________________
My Address ______________________________________
______________________________________
______________________________________
Postcode __________________
Date __________________
I want the Central Council
of Church
as
Gift Aid donations (delete as appropriate):
° All donations I
have made for the six years prior to this year
(but no earlier than
° This and any
subsequent donation until I notify you otherwise
° The enclosed donation of £ ______
I know that I must pay an amount of
income/capital gains tax at least
equal
to the tax the CCCBR reclaims on my donations in the tax year.
Signed ___________________________
Please return completed form to:
Mr
Derek J Harbottle
Hon Treasurer CCCBR
Brockworth
GL3 4LU
(CCCBR February 2006)