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Gordon Russell Design Museum
Charity Gift Aid Declaration Form
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* Indicates required question
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.
Permission to Gift Aid
*
I want to Gift Aid my donation of the following amount
Required
Amount
*
Your answer
My Details
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.
Title
*
Your answer
First name or initial(s)
*
Your answer
Surname
*
Your answer
Full Home address
*
Your answer
Postcode
*
Your answer
Date
*
MM
/
DD
/
YYYY
Please notify us if you:
+ want to cancel this declaration
+ change your name or home address
+ no longer pay sufficient tax on your income and/or capital gains
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