CHESTERFIELD & DISTRICT BRANCH   
 


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MAKING A DONATION                                                                                                   

PLEASE PRINT OUT AND COMPLETE THIS FORM, POSTING IT TO THE TREASURER, ADDRESS BELOW

Please print out and complete this form, posting it to the Branch address below. Please remember Gift Aid can make your donation go   further.

Your Details

Mr/Mrs/Miss/Ms/Other:

First Name:

Surname:

Address:

 

Town/City:

Postcode:

Contact Tel. No:

Email:

PLEASE GIFT AID YOUR DONATION  

Make your gift go further... for every £1 that you donate, we can claim a further 28p (if you are able to Gift Aid your donations)... at no cost to you!

 Please treat all my donations in the last six years, but no earlier than 6/4/00, until further notice, as Gift Aid
(Tick to confirm)

To qualify for Gift Aid, what you pay in income tax or capital gains tax must equal at least the amount that we will claim in the tax year.

 If you are not a UK Tax Payer,  (please tick to confirm)

Your Gift

I/We wish to make a one-off donation of:  £

Signature: ……………………………………………………………………………    Date: ………………………………

Please make your cheques or postal orders payable to Chesterfield & District Cats Protection

Please send your completed donation form and cheque/postal order to:

Helen Griffiths Treasurer. 10 Oak Street, Hollingwood. Chesterfield  Derbyshire S43 2HL