Burley-Téréli Friendship Trust Donation Form

1.CHEQUE/CAF OR CASH DONATION

I enclose a cheque/cash donation for £................... made payable to “Burley-Téréli Friendship Trust”


2.STANDING ORDER (for regular donations)

To the Manager.................................................................................................Bank

Bank address............................................................................................................

..................................................................................................................................

Sort code........./........./......... Account No...................................

Please pay Burley-Téréli Friendship Trust £..........every month/quarter/year (delete as appropriate)

commencing on ......../......../.......... until further notice

Signed.................................................... Date......../........../...........


3.PLEASE FILL IN THIS SECTION FOR ALL DONATIONS

Title............ Forename............................. Surname.........................................................

Address............................................................................................................................

.......................................................................................................Postcode...................

Email.....................................................


4.GIFT AID
Using Gift Aid means that for every pound you give, we get an extra 25p from Her Majesty’s Revenue
& Customs, helping your donation go further. This costs you nothing.

Declaration:
I wish all donations I have made since 24 September 2006 and all donations in future to be declared
for Gift Aid purposes. This applies until I notify you otherwise.
To qualify for Gift Aid, what you pay in UK income tax or capital gains tax must at least equal the
amount we will claim in the year (i.e. 25p per £1 donated).

Signed....................................................................... Date......../........../..........

Please return this form to:
Burley-Téréli Friendship Trust, 25 Menston Old Lane, Burley In Wharfedale, Ilkley, West Yorkshire LS29 7QQ

Reg. charity in England & Wales no. 1117169
THANK YOU FOR YOUR SUPPORT