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GIFT AID FORM

Please print off and bring to the next plenary

Initials: ...............................................

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

House Number:...............

Post Code:......................

Declaration: by signing the declaration below you agree that;

I want CJC to treat all donations that I have made and that I make in the future as Gift Aid Donations.

I confirm that I am a UK Income Tax payer

I agree to notify CJC if my circumstances change and if I no longer pay UK income

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

Date:..........................