BOOST YOUR DONATION BY 25p OF GIFT AID FOR EVERY £1 YOU DONATE Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer The amount of my donation today is (£): * I want to Gift Aid my donation today and any donations I make in the future or have made in the past 4 years to Christadelphian Support Network: --- SELECT ONE --- I agree to Gift Aid No, I do not agree to Gift Aid * I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donationsin that tax year it is my responsibility to pay any difference. Title: * First name or initials: * Surname: * FULL postal address including Post Code: * Your email address (so we can send you a copy of this form): * May we retain this email to keep you informed about CSN?: Yes No Today's date: * Please notify CSN if you want to cancel this declaration or change your name or home address or no longer pay sufficient tax on your income and/or Capital Gains If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations