Make a donation to St Andrew’s

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Amount of donation:
£

Donation for (select one):
General funds
Mission Fund
Special appeal - Kids for Kids
Magazine subs and donation
Something else

As you have chosen 'Something else' above, please indicate what your payment is for:

If yes, do we already have a Gift Aid declaration from you?

Yes • No, or not sure

Gift Aid Declaration made by

I want to Gift Aid this donation and any donations I make in the future or have made in the past 4 years to St Andrew’s Cheam United Reformed Church Charity, registered in England and Wales no 1134905.

I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

My full name is as above and my home address including postcode is:

I make the above declaration: Yes • No

Date: 18 Jan 2021