GIFT AID DECLARATION

My Full Name:________________________________________________

My Address:__________________________________________________

____________________________________________________________

____________________________________________________________

Date: _______________________________________________________

I want the Wimbledon Community Association (Registered Charity) to treat the following as Gift Aid donations (delete as appropriate):

The enclosed donation of £ _____________.

The donation of £ _______that I made on __________________.

All donations I have made since 6 April 2000, and all donations I make from the date of this declaration until further notice.

I know that I must pay an amount of income/capital gains tax at least equal to the tax that the charity reclaims on my donations in the tax year.

_____________________________________

Signed

Please send this form to:

Wimbledon Community Association Ltd
28 St. George's Road
Wimbledon
London SW19 4DP