St Nicholas' Church Great Yarmouth, Organ Fund Donation Form I wish to sponsor the following organ pipe(s): Name: ................................................................... Address ................................................................................................................................................................... email ................................................ .................................................................................................note(s) ................................................................................................ pipe name(s) TOTAL .................... Cheques made payable to St. Nicholas Church Preservation Trust and sent to: Michael Muskett, PKF, Galahad Road, Gorleston. NR31 7RU I am a taxpayer and wish to GIFT AID the donation I would/would not (delete as appropriate) like my name to be entered into a book in the church as an organ benefactor/I wish to sponsor this organ pipe in memory of ............................. Donations of £1,000 or over will be offered an advertisement and/or mention on this website if requested St Nicholas Church Preservation Trust Registered Charity No: 1057601 Gift Aid Declaration Using Gift Aid means that for every £1 you give, St Nicholas Church Preservation Trust receives an extra 25 pence (28 pence until 5/4 2010) from the Inland Revenue, helping your donation to go further. If you would like your donation to go further, then Gift Aid it by completing this form and sending it with your cheque to the Treasurer, St. Nicholas Church Preservation Trust, Rushmere House, Princes Walk, Lowestoft, NR32 2QW. Your details: Title ______ Forename _____________ Surname ____________________________ Address __________________________________________ Town _____________________________________________ County ___________________________________________ Postcode _________________________________________ Telephone No _____________________________________ E-mail address ___________________________________ Signature_________________________________________ Your declaration: I would like St. Nicholas Church Preservation Trust to treat the donations I have made since ____________ (date) and all donations I make in future to be Gift Aid donations until I notify you otherwise. Notes: 1. Your address must your home address and include your postcode. 2. You must pay an amount of income or capital gains tax at least equal to the tax that the charity reclaims on your donation in the tax year (currently 25pence for each £1 you give). If you cease to pay tax you must cancel this declaration. 3. You can backdate your declaration to any date not before April 2005 as long as you have been paying the required tax for the whole period