THE RORY PECK TRUST

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DONATIONS AND GIFT AID Gift Aid increases your donation by almost a third. You only have to complete the Declaration below once for The Rory Peck Trust to reclaim the tax on all your current and future gifts. GIFT AID DECLARATION Details of Donor Title……First name (s)………………………Surname………………………………. Address …………………………………………. …………………………………………. ………………………………………….Post Code……………… I am a UK taxpayer and wish The Rory Peck Trust (Charity Registration No. 1071844) to treat all donations I have made since 6th April 2000, and any future donations I make, as Gift Aid donations, until I notify you otherwise Signature…………………………. Date……………………… Please return this form to: Tel: + 44 (0)20 7730 1411 The Rory Peck Trust, 2 Grosvenor Gardens, London SW1W 0DH Fax: + 44 (0)20 7730 1428 Notes from the Inland Revenue      You must pay an amount of income tax or capital gains tax equal to the tax we reclaim on your donations (currently 28p for every £1 you give) If you are a higher rate tax payer you can claim further tax relief in your Self Assessment tax return You can cancel this declaration at any time by notifying The Rory Peck Trust in writing. To find out more about Gift Aid, ask your local tax office for leaflet IR 113 Gift Aid Please let us know if your tax situation changes, or of you change your name or address. Limited Company no. 3552486 registered in England and Wales Registered Charity no. 1071844 RPT/GA/12/2005

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