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Gift Aid Form

Gift Aid Form

Now every donation you make can be worth almost a third more to education and research

Signing this Gift Aid Declaration means ARSC can reclaim the tax you’ve already paid on your gift, making it worth nearly a third more to our research. It won’t cost you a penny extra - but it will make such a difference to our work. This simple declaration can cover any number of donations and subscriptions from 6th April 2005 until revoked at some future date.

You may declare in writing opposite or orally by phoning us, any time before, after or at the time of the donation. If you make an oral Declaration, we will send you a written record of it.

Signature: ____________________________

Address: _____________________________

_____________________________________

_____________________________________

_____________________________________

_____________________________________

 

Gift Aid acceptance

Yes, I want ARSC to reclaim the tax on all donations I make from the 6th April 2005 for their work into research in Stammering in Children. I understand that I must pay an amount of income tax or capital gains tax at least equal to the amount to be reclaimed. I am under no commitment to make any further donations and I may cancel this Declaration at any time.

 I want ARSC to treat as Gift Aid donations the gift of £

 The following regular monthly donation made by Standing Order for £

Date: _____ /_____ / _____
Standing Order Form - return to ARSC to process at your bank:
To the Manager

Your bank address:

     _____________________________
     _____________________________
     _____________________________
     _____________________________


Please debit my account as follows: (in BLOCK CAPITALS)

Name of Account _____________________________________

Account Number _____________________________________

Sort Code ______________________________________

Signed ______________________________________

Date ______________________________________
  Please pay to:

Lloyds Bank TSB Plc
Pall Mall
St James’s Branch
8-10 Waterloo Place
London SW1Y 4BE

for the credit of: ARSC

Account No. 7331829

Sort Code 30-00-08

£______ to commence on

Date: _____ /_____ / _____

and thereafter

 until revoked

 annually/quarterly/monthly for ___ years

(please tick as appropriate)