The Rock Academy Foundation

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Registered Charity No: 1158478

Gift Aid Declaration

(for a single donation)

Please treat the following gift as a Gift Aid donation. *

Please enter the amount in £'s and pence sterling (GBP)

Gift Aid it! *

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

Required

Title

First Name *

Last Name *

Email Address *

Phone Number

Address Line 1 *

Address Line 2

Address Line 3

Town / City *

Post Code *

Date of Donation *

YYYY

Please notify the charity or CASC if you:
- Want to cancel this declaration
- Change your name or home address
- No longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

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