Please print and complete this form, including the Gift Aid Declaration, and return with your cheque to the address below.

I would like to become a Friend of Marden House Concerts and enclose a donation of £…………… (min £10)

Name …………………………………………………..

Address……………………………………….…………………………………………....

……………………………………………………………………Tel:…………………

Email:...........................................................

If you are a UK taxpayer, would you be prepared to sign the Gift Aid declaration?

Gift Aid Declaration :
Friends of Marden House Concerts   No. ............
Marden House Centre (Reg. Charity No. 293514)

My full name: Title …………….   Initial(s) ………….………

Surname ………………………….……..…………………………………..

My address: ……………………………………………………………………………………………

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

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

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

Post Code: ………………………………………            

I would like Marden House Centre (on behalf of Friends of Marden House Concerts) to treat all donations I have made since 6 April 2004, and all donations I make from the date of this declaration until further notice, as Gift Aid Donations. I know that I must pay an amount of income (or capital gains) tax at least equal to the tax the charity reclaims on my donations in the tax year.

Sum donated: £……………………………….

Signature
……………………………………..………… Date ………………………….…….

Please return to: Lyn Cooper, 31 Horsebrook Park, Calne, SN11 8EY

Tel: 01249 812025

Thank You.

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