Edgware Adath Yisroel Congregation

EAYC - Gift Aid Declaration Form

Name of
Donor

Title

First Name

Surname

Address of
Donor

Post Code

Name of
Charity

EDGWARE ADATH YISROEL CONGREGATION LIMITED

Inland Revenue Charity Reference No. - XN 41323
Registered Charity No. 1123950

All donations I have made since the 6th April 2001, and all those I make hereafter, are to be treated as Gift Aid Donations. I want the charity named above to reclaim tax on all such donations.

Signed:

Date:

Important note:

You must pay an amount of income tax or capital gains tax equal to the tax we reclaim on your donations. Please remember to notify us if you no longer pay an amount of income tax or capital gains tax equal to the tax we reclaim on your donations.

Please print out, sign and return to:

The Administrator, Edgware Adath Yisroel Congregation Ltd,
265 Hale Lane, Edgware. HA8 8NW.