PAUL D'AURIA CANCER SUPPORT CENTRE
providing information, support and complementary therapies
to people with cancer and their families
DONATION FORM
Yes, I want to help the Centre by making the following donation:
(please tick relevant amount)
£1,000____ £500____ £100____ £50____ £25____ £10____
Other £______
Name _________________________________________
Address __________________________________________
_________________________________________________
Postcode ___________
Telephone no ____________________
E-mail address ________________________
The Paul D'Auria Cancer Support Centre is regulated by the Data Protection Act 1998.
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Gift Aid your donation
If you are a UK tax-payer, you can increase the value of your donation by almost a third under the Gift Aid scheme as the Centre can reclaim tax on your donation (currently 28 pence for each £1).
If you pay tax at the higher rate, you can claim further tax relief. You can cancel this declaration at any time.
(To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.)
I want all donations I've made since 6 April 2000 and all donations in the future to be Gift Aid donations until I notify you otherwise.
Signature ______________________________________
Date ______________
Please make your cheque or postal order payable to the Paul's Cancer Support Centre and send it to:
Fundraising Office
Paul's Cancer Support Centre
3rd Floor
Woburn House
155 Falcon Road
London
SW11 2PD
If you would like any further information, please contact Lynn Leadbeater, our Lead Fundraiser, on 020 7801 2965.
Thank you.