Gift Aid Declaration Form

This Gift Aid declaration form allows The Blackheath Society to claim tax back on eligible donations. For every £1 you donate we can claim back 25p, at no extra cost to you. We would be grateful if our members would complete the form below. Your name and address is needed to identify you as a current UK taxpayer. Please notify us if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax.

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First name

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Address 1

Address 2

Post Town

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Gift Aid Declaration

I confirm, I wish The Blackheath Society to reclaim the tax on all qualifying donations I have made in the past four years, as well as any future donations, until I notify them otherwise. I 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 I may be asked to pay any difference.

Yes I am a UK taxpayer and I wish to Gift Aid my donation to The Blackheath Society

No I am not a UK taxpayer

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