GIFT AID DECLARATION

In respect of a donation or donations to The Boys' Brigade name of Company

MEMBER

Initials___________Surname_______________________________

Date of Birth_____________

Donor

Title

Forename(s)

Surname

Address

Post Code

I wish The Boys' Brigade, name of Company to treat as Gift Aid donations (tick as appropriate):

The enclosed donation of £__________

The donation of £__________which I made on ___/___/200

All donations which I make from the date of this declaration until I notify you otherwise

All donations I have made since 6th April 2000, and all donations I make from the date of this declaration until I notify you otherwise.

Date_____/______/200