I wish to make a gift to support Leicester and Leicestershire Animal Aid Association
I enclose cheque / postal order for £............................................
Surname: .............................................................................................
Other Names: ........................................................................................
Full Postal Address: ..............................................................................................................
..............................................................................................................
..............................................................................................................
..............................................................................................................
....................................................... Postcode: ......................................
E-mail: ..................................................................................................
Ref. : ..............................(LAA Office use only)
GIFT AID DECLARATION FORM - INCREASE YOUR DONATION AT NO COST TO YOURSELF!
Declaration: I am a UK taxpayer. Please reclaim the tax on this and all future donations (currently 28p for every £1 donated).
Amount donated is: £____________
Signature: .......................................................Date: ............................
(Please remember to tell us if you cease paying tax or change address)
Please complete this form and post to LAA, Elmwood Farm, Forest Road, Huncote, Leicestershire, LE9 3LE.
Thank you very much for your help
