Charity Gift Aid Declaration
Boost your donation by 25p of Gift Aid for every £1 you donate Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.
Please notify the charity if you:
•Wish to cancel this declaration
•Change your name or home address
•No longer pay sufficient tax on your income and/or capital gains  
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 and Customs to adjust your tax code.      
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I want to Gift Aid my donation of and any donations I make in the future or have made in the past 4 years to     Name of Charity: Sri Lankan Medical & Dental Association (UK), 152 Old Woking Road, Woking, Surrey, GU22 8LE. Registered Charity: 800821 *
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Amount of donation (£) *
Bank transfer reference (eg Smith J A) and date *
Title *
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Surname *
Email *
Full Home address *
Postcode *
                            Date of form completion                             *
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