Name of the Charity:   The Falconer Trust

GIFT AID DECLARATION

  Ref. No.  ..............

  Details of Donor

 

  Title:  Mr / Mrs / Miss

  Forename(s).................................................................................................

  Surname   ....................................................................................................

  Address   ....................................................................................................

  ....................................................................................................................

  ....................................................................................................................

  .....................................................................  Post Code   ..........................

 

  I want the charity to treat all donations I have made since the 6th April 2000

  and all donations I make from the date of this declaration until I notify you

   otherwise as Gift Aid donations.

 

 

  Signature   ...................................................................................................

 Please note:

    You must have paid an amount of Income tax or capital gains tax at least equal to

    the tax that we will reclaim on your donation in the tax year.

    (Currently 28p for each  £1 you give.)

  Please notify us:

    If you change your name or address while the declaration is in force.

    If you are no longer paying an amount of Income tax or capital gains tax equal to

    the tax that the charity reclaims.   Your declaration will be cancelled.

    If you wish to cancel this declaration.