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CHARITY REGISTERED NO. 1108659

GIFT AID DECLARATION



Details of donor

Title.........Forename(s).......................................Surname.........................................

Address.......................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................Post Code.............................................
Email Address............................................................................................................


I want the above charity to treat



            * the enclosed donation of £..............................

            * the donation(s) of £.....................which I made on ..../..../.........

            * all donations I make after ..../..../........., and until further notice                   



as gift aid donation(s).


Signed..........................................................................   Date......................................

* fill in / delete as appropriate

                                           WRH/WM2000/GAF


Complete all sections and send to:

Westie ReHoming
PO Box 2868
Swindon
SN4 0WU