CaSE Membership - Gift Aid Declaration
This declaration form is for all current individual members of the Campaign for Science and Engineering (CaSE) who wish their annual subscription to be treated as a Gift Aid donation. You can find out more information about CaSE and its membership at www.sciencecampaign.org.uk

For further inquiries please contact info@sciencecampaign.org.uk.

Email address *
Title *
Your answer
Forename *
Your answer
Surname *
Your answer
Home Address *
Your answer
Postcode *
Your answer
Gift Aid Declaration *
Required
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. *
Signed (Name) and Date:
Your answer
Please notify us if you:
1) want to cancel this declaration
2) change your name or home address
3) no longer pay sufficient tax on your income and/or capital gains
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