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LYME REGIS DEVELOPMENT TRUST
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Registered charity no: 1075743
MY DETAILS
Name:
_________________________________________________
Address:
_________________________________________________
_________________________________________________
Postcode: _____________ Phone no:
___________________________
Email:
_________________________________________________
GIFT AID DECLARATION
If you want your donation to go further, Gift
Aid it. For every pound you give to us, we get an extra 28
pence from the Inland Revenue. Just make sure that your
details above have been fully completed.
I want all donations I have made since 6 April
2007 and all donations in the future to be Gift Aid until I
notify you otherwise. (Please tick the
box and make sure we have your name and full address above)
To qualify for Gift Aid,
what you pay in income tax or capital gains tax must at least
equal the amount we will claim in the tax year.
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STANDING ORDER MANDATE
(Please return this to the Trust at the address
given below, not your Bank, with, if relevant, the Gift Aid
declaration box ticked above)
Account name: ___________________________ Sort
Code: ___- ___-___
Account no: _______________
Bank address:
_________________________________________________________________
Please pay to: National Westminster Bank plc
(60-13-57) 22 Broad Street, Lyme Regis, DT7 3QG for the credit
of the Lyme Regis Development Trust (A/c No: 83733280)
Amount £ _______ (in figures)
______________________________ (in words)
on _________________________ and thereafter on
the same day each year
until further notice * / or until ___________ *
( delete as appropriate)
Please debit my above account:
NAME (Block capitals)
___________________________________________
SIGNATURE ___________________________________
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DONATION
I enclose a donation of £10, £25, £50 or £ ____
* (delete as appropriate) towards the work of the Lyme Regis
Development Trust.
(Please make your cheque payable to Lyme Regis
Development Trust and send it with this form to the address at
the bottom of this sheet. If appropriate, please tick the Gift
Aid box above.
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Data Protection: Your personal details
will be used solely be LRDT to communicate with you
about the work of the Trust. Please tick here
if you do not wish to receive any communications
PLEASE RETURN THIS FORM TO THE LYME REGIS
DEVELOPMENT TRUST, ST
MICHAEL’S BUSINESS CENTRE, LYME
REGIS, DT7 3DB (NOT TO YOUR BANK).
THANKS.
St
Michael’s
Business Centre, Church Street, Lyme Regis
Dorset DT7 3DB
Charity
no: 1075743 Company Registration No:
03501364
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