Catholic Blind Institute :: Donation Form

DONATION FORM - CATHOLIC BLIND INSTITUTE
Registered Charity Number: 1102657

Donor Details:
Mr / Ms / Mrs	.......................................................................................................
Address:	....................................................................................................... ....................................................................................................... ....................................................................................................... .......................................................................................................
Postcode:	.......................................................................................................

Gift Aid Declaration
I want the Catholic Blind Institute to treat the enclosed donation of ........................................................
as a Gift Aid donation.

Note: I pay income tax at least equal to the amount the charity reclaims on my donations.

Signature:	.......................................................................................................
Date:	.......................................................................................................

Your personal details may be used for future correspondence between yourselves and the Catholic Blind Institute however will not be passed on to other organizations/agencies without prior consent.

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