Chalfont St Peter Community Centre - Gift Form

Question Title

* 1. I would like to become a Friend of the New Chalfont St Peter Community Centre by contributing in one or more of the following ways [please tick the boxes that apply]:

Yes

Question Title

* 2. I would like to make a one off or regular donation, please tick where appropriate:
[Payment details are below. Please consider signing the GIFT AID form -also below- as we could increase your donation by 25% through the recovery of tax from the government.]

One Off

Monthly

Quarterly

Annually

None

Please state amount:

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* 3. I would like to offer some of my time [please register your interest with cbirkenshaw@cspcc.org.uk or on 01753 885778]

Yes

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* 4. I would like to be added to the Community Centre email mailing list.
E-mail:

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* 5. GIFT AID DECLARATION:
If you are a taxpayer and wish to support our GIFT AID scheme, please complete the following:

I want to Gift Aid my donation, and any donations I make in the future or have made in the past 4 years to Chalfont St Peter New Community Centre Fund.
I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference.

Please notify Chalfont St Peter Community Association if you:

1. Want to cancel this declaration, change your name or home address, no longer pay sufficient tax on your income and/or capital gains.

2. If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self - Assessment tax return or ask HM Revenue and Customs to adjust your tax code. The Centre does not have any contact with HMRC concerning individual member's tax arrangements.

Name:

Address:

City/Town:

County:

Postal Code:

Country:

Date:

The Community Centre uses personal data for the purposes of marketing the Centre. Please contact the Administrator for more details.

PAYMENT DETAILS

Please make cheques payable to The CSP New Community Centre [Gravel Hill, Chalfont St Peter, SL9 9Q]

Bank details for the New Chalfont Saint Peter Community Centre Fund are:
Account Name: NB CSPCC
Sorting Code: 401769
Account number: 21476149

Thank you for submitting your answers.

Chalfont St Peter Community Centre - Gift Form

Question Title

* 1. I would like to become a Friend of the New Chalfont St Peter Community Centre by contributing in one or more of the following ways [please tick the boxes that apply]:

Question Title

* 2. I would like to make a one off or regular donation, please tick where appropriate:[Payment details are below. Please consider signing the GIFT AID form -also below- as we could increase your donation by 25% through the recovery of tax from the government.]

Question Title

* 3. I would like to offer some of my time [please register your interest with cbirkenshaw@cspcc.org.uk or on 01753 885778]

Question Title

* 4. I would like to be added to the Community Centre email mailing list. E-mail:

Question Title

* 2. I would like to make a one off or regular donation, please tick where appropriate:
[Payment details are below. Please consider signing the GIFT AID form -also below- as we could increase your donation by 25% through the recovery of tax from the government.]

* 4. I would like to be added to the Community Centre email mailing list.
E-mail: