Donation:

First Name:

Last Name:

Address 1:

Address 2:

Town/City:

County:

Postcode:

Email:

Phone:

East Belfast Mission can reclaim the standard rate of tax you have paid on any donation you make, adding 28% to it at no cost at all to you. You simply need to check the Gift Aid declaration on this form: no further forms will be required.

Important Gift Aid Declaration:

I have paid UK income tax or capital gains tax on this sum.

I want East Belfast Mission to treat the donation, and any future donations I may make, as Gift Aid, until I advise them otherwise