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To: British Council for Prevention of Blindness
4 Bloomsbury Square
London
WC1A 2RP

Please accept my / our donation towards preventing blindness and restoring sight:

This will enable us to reclaim the tax you have paid on your donation:

I would like all gifts to the British Council for Prevention of Blindness paid on or after the date of this declaration to be Gift Aid donations.
I pay tax at the basic rate / higher rate (delete as appropriate)

_____________________   ______________________
Signature   Date

Please note:
You must pay an amount of UK Income Tax or Capital Gains Tax equal to the tax deducted from your donations for your gift to be eligible for Gift Aid.

To (name of your Bank) ________________________________
   
Your Bank's Address ________________________________
   
  ________________________________
   
  ________________________________
   
Sort Code ________________________________
   
Account no. ________________________________
   
The sum of £ ________________________________
   
Amount in words ________________________________
   
Start Date*
________________________________

And afterwards on the same day each month/quarter/year until further notice (delete as appropriate).

* THIS CANCELS ALL PREVIOUS ORDERS.