Details of donor
Title
Forename(s)
. Surname
.
Address
..
..
.Post Code
I want the charity to treat as Gift Aid donations
* the enclosed donation of £ ..
* the donation(s) of £ .. which I made on / ./ ..
* all donations I make from the date of this declaration until I notify you otherwise
* all donations I have made since 6 April 2000, and all donations I make from the date of this declaration until I notify you otherwise
* Please delete as appropriate
Signature..................................................... Date
./
./
..
Please make cheque/PO payable to INSPIRE.
Please, sign and send to:
The INSPIRE Foundation
Spinal Treatment Centre
Salisbury District Hospital
SALISBURY
SP2 8BJ.
Tel: 01722 336262 Extension 2465
Notes
If your declaration covers donations you may make in the future: