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					                         Gift Aid Declaration

Title: ______

First Name: ___________________

Surname: ____________________

Home
Address:_______________________________________________________

_______________________________________________________________

City ___________________________________________________________

Postcode ___________________


Supporter Number (if known):

  [ ] I am a UK tax payer* and want Scope to treat all donations I have
      made for the four years prior to this year, and all donations I make
      from the date of this declaration until I notify you otherwise, as Gift Aid
      donations

       Today’s date:_______________________

   * Please note that you must pay an amount of income tax and/or
   capital gains tax at least equal to the tax that we will claim on your
   donations in the tax year

Please return this declaration to Supporter Care, Scope, Freepost LON 8654,
London N7 9BR



Scope is a registered charity no. 208231 and a company limited by guarantee
no. 520866 (England). Registered office: 6 Market Road, London N7 9PW

				
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posted:2/23/2013
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