Name *

First Name

Last Name

Full Home Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Start date *

Gift Aid applies to all donations made from this start date and for the 4 years prior to the start date.

MM

DD

YYYY

Gift Aid Declaration *

Yes, I want North Lambeth Parish (The Parochial Church Council Of The Ecclesiastical Parish Of North Lambeth. Charity Number: 1134717) to treat all donations I have made for the four years prior to this year, and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations. I am a UK tax payer 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.