Platinum Raffle Book

I’m playing to support xxxx I am enclosing £ _________ for sold tickets. I would like to make an additional one-off donation of £ ________ I would like to order ________ more book(s) of raffle tickets. Payment Details I enclose a cheque/postal order payable to YOUR CHARITY NAME HERE or Please debit my debitcard Visa MasterCard Card holders name _________________________________________________ Card number Start date / Expiry date / Issue number (if applicable) Signature _______________________________ Date ______________________ Make your gift go even further Signature _______________________________ Date _______________________ I want to Gift Aid my donation and any donations I make in the future or have made in the past 4 years to YOUR CHARITY NAME HERE. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer. 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 YOUR CHARITY NAME HERE if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. Keeping in touch We would like to send you information about our fundraising and events, and other ways in which you can help us. We will write to you by post unless you ask us not to. Please tell us if there are other ways you’d like to hear from us. All Post Email Phone SMS Don’t want to receive updates Personalise this area with your own details

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