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Subscription to be renewed each year in the month of joining.

Enter amounts and tick below as appropriate.

Full £30   o
Concessions £25   o
Overseas £35   o
£5 per month to include a donation           o

Total £............

Please choose your method of payment by completing A or B.
If you are a UK taxpayer please also complete C.
Please use capitals and write clearly.

A. Cheque / Cash

Full Name............................................ Title........

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

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

Postcode.......................... Tel...............................

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

Signed.................................................................

Date.....................       Enclosed £...............

(Cheques payable to Christians Aware)

B. Standing Order
To the Manager.....................................................................
(Bank / Building Soc.)
Address...............................................................................

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

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

Please pay to the account of
Christians Aware of
53B Jarrom St, Leicester LE2 7DH

at CAF BANK Limited
PO Box 289, West Malling, Kent ME19 4TA

(Sort Code: 40-52-40 A/C No: 00011934)

The sum of £..................… (in figures)

.................................................... (in words)

on the ......... day of .............. 20.....
and on the same date in each succeeding
*month/ quarter / year until further notice.

Please debit my account No..............................

Please cancel previous standing order for £...............
per *month / quarter / year

*Important please delete as appropriate

Signed................................................. Date.................

Name………………………………………………..

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

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

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

C. Christians Aware Gift Aid

The Gift Aid Scheme allows all charities to

reclaim tax of 25p on every £1 given in

donations. This subscription can be treated as

a donation and so if you are a UK taxpayer it

would benefit Christians Aware if you would

kindly complete this form.

Donor’s details. Please use capitals

I(full name & title)

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

of (address) ..........................................................

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

.........................................Post code......................

hereby declare that all donations I have made

to CHRISTIANS AWARE in the past 4 years

and all donations I make hereafter are to be

treated as Gift Aid donations. I confirm I have

paid or will pay an amount of Income Tax

and/or Capital Gains Tax for each tax year (6

April to 5 April) that is at least equal to the

amount of tax that all the charities that I

donate to will reclaim on my gifts for that tax

year. I understand that other taxes such as

VAT and Council Tax do not qualify.

Signed......................................Date.......................

.....

Please notify Christians Aware if you:

· Want to cancel this declaration

· Change your name or home address

· No longer pay sufficient tax on your

income and/or capital gains

Please return to: Christians Aware,

53B Jarrom St, Leicester, LE2 7DH

Please notify Christians Aware if you cease to

pay income tax or capital gains tax, in these

circumstances we are not entitled to make any

reclaims.

Where did you hear about Christians Aware?

…………………………………………………

Company No: 2417029 Charity No: 328322