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The West Yorkshire Forget Me Not Trust Donation Form

Please fill in the form below and post it to the address below

Please make cheques payable to The West Yorkshire Forget Me Not Trust

Name: _________________________________

Address: _______________________________

_______________________________________

_______________________________________

_______________________________________

Postcode: ___________________

Tel: ________________________

Please complete this part of the form if you wish to
Gift Aid your donation

I am a taxpayer and want The West Yorkshire Forget Me Not Trust (registered charity 1110457) to treat all donations I have made since April 2002 and all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid Donations. I understand that I must pay an amount of income tax or capital gains tax at least equal to the tax the charity reclaims on my donations in the tax.

Signed: _______________________

Date: _________________________

Post to:

The West Yorkshire Forget me not Trust Ltd,
Heritage Exchange,
Wellington Mills,
Lindley,
Huddersfield,
HD3 3HR

Thank You

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