Clayhall Community Centre Gift Aid Declaration
By submitting this form, I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want Clayhall Community Centre, named above, to reclaim tax on the donation detailed below, given on the date shown. I understand that if I pay less Income Tax / or Capital Gains tax in the current tax year than the amount of Gift Aid claimed on all of my donations it is my responsibility to pay any difference. I understand the charity will reclaim 25p of tax on every £1 that I have given.

Clayhall Community Centre would like to thank you for your generous donation

Registered Charity Number 1157196
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Date *
Full Name *
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Donation Amount Paid *
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Gift Aid *
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