CHEQUE _ CREDIT CARD DONATION FORM by gjjur4356

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									CHEQUE & CREDIT CARD DONATION FORM
Charity Name: The David Sheldrick Wildlife Trust
Charity Ref:  7444-09


To make a donation to the David Sheldrick Wildlife Trust, please complete
all sections of this form and post it to:
The David Sheldrick Wildlife Trust, PO Box 133, Ashtead, KT21 9AB, UK

        Title…………... Forename(s)………..…….………………… Surname………………..….………….………..

        Address……………………………………………….………………………………….………….……….………

        ………………………………………………….….....………… Postcode……………………..……….….….….

        Email address………………………………......……….……. Can we contact you via email?                             YES / NO


DONATION DETAILS

        I wish to make a donation of:      [ ] £10    [ ] £20    [ ] £30    [ ] £……..…....Other
        (These are just suggestions and whatever you choose to give will make a difference)

        (A) BY CREDIT / DEBIT CARD

        Card type                  MASTERCARD        /   VISA   /   DELTA    /   SWITCH       /   MAESTRO

        Cardholder’s name……………………………………………………………………………

        Card number



        Start date………………Expiry date……………Switch card issue no………… CCV number………….. …….
                                                                                    (Final three digits in signature strip on
                                                                                           reverse of credit card)
        Signature………………………………………………………Date…………………………

        (B) BY CHEQUE – PLEASE MAKE CHEQUES PAYABLE TO ‘THE DAVID SHELDRICK WILDLIFE TRUST’


GIFT AID DECLARATION

        Please complete this section if you are a UK taxpayer. We can then reclaim the tax on your
        donations, that’s an extra 28p on every £1 you donate – at no extra cost to you!

        I am a UK tax payer and wish all donations I make from 01 November 2004 until I notify you
        otherwise to be tax effective under the Gift Aid scheme.
        Higher rate tax payers can claim further tax relief in their Self Assessment return.

        Signature …………………………………………………………………………….

        Print name ………………………………………………Date……………………..

        Please remember to notify us if your circumstances change. You must pay UK Income Tax and/or Capital Gains Tax equal
        to the tax the charity reclaims on your donation in the tax year.


DATA PROTECTION

        Your support is vital to the work we do and we thank you for it. We also respect your privacy and would
        assure you that we fully comply with the Data Protection Act (1998). To help us do so, please tick the
        box below if you DO wish to receive future communications from the David Sheldrick Wildlife Trust.

        [ ]   I DO wish to receive future communications from the David Sheldrick Wildlife Trust


                                           - THANK YOU FOR YOUR SUPPORT -
                                                                                                                      Registered UK Charity No
W002                                                                                                                                 1103836

								
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