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Gift Aid form

THE GIL POULOS MEMORIAL TRUST
Charity Number : 1038727



Donors details

Your Name :

Your Address :





Amount donated :


Donors confirmation
This section is for UK tax payers only

I confirm that I am a registered UK tax payer and wish this donation and all future donations to this charity to be treated as a Gift Aid payment.

Signature :


Date :


Payment instructions

Cheques should me made payable to:
"The Gil Poulos Memorial Trust re Tsunami Relief"
and sent with this completed form to:
Donations, Maidenhead Interfaith, PO Box 2382, Slough PDO, SL1 8WD.



Registered Address of the UK Charity:
The Gil Poulos Memorial Trust
The Glade, Remenham Piece,
Henley-on-Thames, Oxon, RG9 3ET
Registered Charity Number: 1038727