Christian Prayer Ministries
REGISTERED CHARITY NUMBER 1090856
GIFT AID DECLARATION FORM
 
Details of Donor
Title  Forename(s)  Surname 
Postal Address
 
Town  County  Post Code 
Phone Number 
Email Address 
DECLARATION 
I WISH THE ABOVE NAMED CHARITY TO TREAT: -
(a) *ALL DONATION(S) THAT I MAKE FROM THE DATE OF THIS DECLARATION UNTIL I NOTIFY YOU OTHERWISE
(b) * THE ENCLOSED DONATION OF £
(c) * THE DONATION(S) OF £
WHICH I MADE ON
 (DATE)
AS GIFT AID DONATIONS (* Delete as Appropriate).
I am a U.K. taxpayer and would like tax to be reclaimed on my donations
through the GIFT AID scheme. I note that I must pay an amount of Income Tax
or Capital Gains Tax equal to the tax reclaimed on my donation.
Signed  Date 

Please return this form to:
CPM Administrator:
113 Tinkers Green Road
Wilnecote
Tamworth
Staffordshire
B77 5LJ