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Donation Form

Gift Aid Declaration

Please print and complete the declaration form below and post, together with your cheque, to:-
John Carter - Chairman of Bath Cancer Unit Support Group
17 Clan House
Sydney Road
Bath
BA2 6NS

Bath Cancer Unit Support Group Gift Aid Declaration Form

NAME:_____________________

ADDRESS:
__________________________
__________________________
__________________________

E-mail: _____________________

TEL. NO: __________________________

Please accept my donation of: ____________________
From this date of declaration, I wish for the Bath Cancer Unit Support Group, Registered Charity No. 292643, to treat the enclosed amount as a Gift Aid Donation and I also confirm that I am a tax payer of the U.K. (See Para 1 on Charity Law)

Date: _________________ Signed:- _________________________