Name *

First Name

Last Name

Phone

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Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gift Aid *

Gift Aid - If you are a UK taxpayer your donation could be worth £6.25 at no extra cost to you.

Yes, I am a UK taxpayer and would like to Gift Aid my donations now and in future. I understand I must pay enough income tax and/or capital gains tax each tax year to cover the amount of Gift Aid that all charities and community amateur sports clubs claim on my donations in that tax year, and I am responsible for paying any difference. Please remember to let us know if your tax status, name or address change or if you wish to cancel your Gift Aid declaration.

No, I am not a UK taxpayer.