Tick all that apply *

Please make a Gift Aid claim for TODAY and IN THE FUTURE

In addition make a Gift Aid claim for the PAST 4 years of donations

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

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Zip/Postal Code

Country

Date of Birth *

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Declaration *

I am a UK Taxpayer and I understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations to charities and CASCS in that tax year it is my responsibility to pay and difference.

*

I understand that my gift aid contribution will be claimed by EMCF (East Midlands Christian Fellowships, The Riverside Centre, Riverside Court, Pride Park, Derby, DE24 8HY. A company limited by guarantee registered in England and Wales No. 3971567 and a registered charity No, 1080638