Please fill out the form below then print and sign it. Forms should be returned to: St Mary's Hall Appeal Treasurer, c/o The Vicarage, 2 Vicarage Lane, Radcliffe on Trent, Nottingham NG12 2FB.
Please tick all boxes that apply. If you would like the Appeal to reclaim tax on your giving, please would only ONE person complete this form.
Full name: Address: Postcode: Phone: Email (optional):
I would be willing to consider a loan to enable work to begin. Please contact me. I intend to give £ each week, month, quarter, year, once, starting on I would like to give by Bank Standing Order, Offering Envelopes, Regular Cheque, Other
I would like St Mary's Church, Radcliffe on Trent, to reclaim tax under the Gift Aid scheme on all my donations made since 6 April 2001 and all donations I make from now on. I confirm that I am a UK taxpayer.
Please remember to notify us if you no longer pay an amount of Income Tax or Capital Gains Tax equal to the tax we reclaim on your donations (currently 28p for every £1 you give).
Signed:
Date:
