|To:||British Council for Prevention of Blindness
4 Bloomsbury Square
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)
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||________________________________|
|The sum of £||________________________________|
|Amount in words||________________________________|
And afterwards on the same day each month/quarter/year until further notice (delete as appropriate).
* THIS CANCELS ALL PREVIOUS ORDERS.