Title: Forename(s):____________________ Surname:______________________
NB We require your forenames to claim back the tax from the Inland Revenue
Address:________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Postcode:_________________
I wish The Robey Trust Ltd to treat as Gift Aid Donations all donations (including membership subscriptions) I have paid since 6 April 2000 and all donations (including membership subscriptions) I may pay from the date of this declaration until I notify you otherwise. I understand that I must pay Income Tax or Capital Gains Tax at least equal to the tax reclaimed by The Robey Trust Ltd.
Signed:_____________________________ Date:_________________________
Please remember to notify us if you no longer pay an amount of Income or Capitals Gains Tax equal to the tax we reclaim on your donations.