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Donation Form

I wish to donate ₤                       to the Wilkins Memorial Trust.

 

Gift Aid Declaration (please complete in block capitals)

For UK supporters: I would like the WMT to reclaim the tax I have paid on all my donation
and any further donations I may make. I pay income or capital gains tax (in the UK) equal
to the tax that WMT will reclaim.

Gift Aid Declaration (please complete in block capitals)

Title                  Name (in full please) 

Address            

 

Telephone                                                                                                                                         

 

Signed                                                                Date       /      /20     

 

I wish to receive information about how to setup a mandate
for regular donations. Please tick if applicable.                                 ◊

I wish to be added to the Wilkins Memorial Trust
mailing list for newsletters.                                                    ◊     

 

Please return the form to:
57 Forest Edge, Buckhurst Hill, Essex IG9 5AE, UK

Registered charity in England and Wales, charity number: 1038323