Gift Aid Declaration

Please print this form and fax (01428 685064) or post to :
The Countess of Munster Musical Trust,Wormley Hill, Godalming, Surrey, GU8 5SG.

Should you have any questions, please contact the Secretary (admin@munstertrust.org.uk) or
telephone (01428 685427)
Thank you

Name of Charity: The Countess of Munster Musical Trust

Details of Donor

Title:...............

Forename(s):..........................................................

Surname:..............................................................

Address:...............................................................

..........................................................................

Postcode...............................................................

I want the charity to treat

the enclosed donation of £.................
.
the donation(s) of £.............. which I made on ....../....../.......
.
all donations I make from the date of this declaration until I notify you otherwise.
.
all donations I have made since 6 April 2000, and all donations I make from the date of this declaration until I notify you otherwise

as Gift Aid Donations...............................delete as appropriate

Signature:.........................................................................................

Date............/............./.............

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