Gift Aid Declaration Form
The Northern Evangelical Trust. Reg Charity No. 517995
Reg Address: 39 Aspen Lane, Oswaldtwistle, Lancs. BB5 4NN
Tel: 01254 879694
For donations towards the work of the Bethany Project (Children’s home, Tanzania)

Details of Donor:

Title: _____________ Forename(s): ______________________________


Surname: ____________________________________________


Full postal Address: ____________________________________________________________________

_____________________________________________________________________________________


County: _______________________  Post code ________________  

Telephone Number + area code: _____________________________________

E-mail address: _________________________________________

Declaration: I want the charity to treat all donations I have made since the 6th April 2000,
and all donations I make from the date of this declaration until I notify you otherwise
as Gift Aid donations.

Signature: _____________________ Date: ___/____/______
___________________________________________________________________

Notes
1.If your declaration covers donations you make in the future:
Please notify the charity if you change your name and address while the declaration is still in force
You can cancel the declaration at any time by notifying the charity – it will then not apply to donations you make on or after the date of cancellation or such later date as you specify.
2.You must pay an amount of income tax and /or capital gains tax at least equal to the tax the charity reclaims on your donations in the tax year (currently 28p for each £1 you give).
3.If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax the charity reclaims, you can cancel your declaration (see note 1).
4.If you pay tax at the higher rate you can claim further tax relief in your self assessment tax return.
5.If you are unsure whether your donations qualify for Gift Aid tax relief , ask the charity. Or you can ask your local tax office for leaflet IR113 Gift Aid.
 

Once completed please return this form to:
The Treasurer, The Bethany Project,
Mr. D. Borland, Kinoulton,
Whalley Road, Barrow, Clitheroe, Lancs  BB7 9BN.

Cheques should be made payable to: ‘The Bethany Project’.
Donations made by standing orders are also covered by this gift aid declaration.

If you need any help or have any questions please contact
David on 01254 822004 or Graham on 01254 879694