GIFT AID

Name *

First Name

Last Name

Date *

Please include date you wish to commence Gift Aid claim

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gift Aid Declaration *

I wish St Michael's Chester Square to Gift Aid my donations. I am a UK taxpayer and understand that if I pay less income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay the difference. I wish St Michael's Chester Square to Gift Aid all my donations made in the past four years, today and in the future.