Birmingham St Mary�s Hospice by Oi4S6F

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									Registered Charity No. 503456


                                      Birmingham St Mary’s Hospice
                                           Gift Aid Declaration

Using Gift Aid means that for every pound you give, we get an extra 25 pence from HM Revenue &
Customs, helping your donation go further.

This means that £100 can be turned into £125, just so long as donations are made through Gift Aid.
Imagine what a difference that could make, and it doesn’t cost you a thing.

So if you want your donation to go further, Gift Aid it.

       Yes, please treat all my donations in the last 4 years and until further notice as Gift Aid.

       No, I do not pay income tax or capital gains tax in the UK

       I prefer not to make a Gift Aid declaration


    Please note: only one person can be named and sign each gift aid declaration form.


    Name        ………………………………………………….                                  Title   ………………

    Address:

    Postcode:



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




NB: To qualify for gift aid, what you pay in income tax or capital gains tax must at least equal the amount
we claim in the tax year.


If you would like more forms for your household or more information about Gift Aid, please contact
Caroline Taylor, Head of Fundraising and Marketing on 0121 472 1191 ext 490 or email
caroline.taylor@bsmh.org.uk.




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