Please print off this form, complete it, and send it by post to:
The Secretary, Jerusalem and the Middle East Church Association,
1 Hart House, The Hart, FARNHAM, SURREY, GU9 7HJ

Don't forget to sign it!
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GIFT AID DECLARATION

Name of Charity: THE JERUSALEM AND THE MIDDLE EAST CHURCH ASSOCIATION (Registered Charity No: 248799)

Details of Donor:

Title: ........ Forename(s): ..............................................

Surname: .....................................................................Please print clearly

Address: ......................................................................

...............................................................................

Post Code: ...................... Telephone No: ..................................

I want the Jerusalem and the Middle East Church Association to treat all donations I have made since 6th April 2000, and all donations I make from the date of this declaration, as Gift Aid donations, until I notify you otherwise.

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

NOTES
1. You must pay an amount of income tax and/or capital gains tax equal to the tax that the charity reclaims on your donations in the tax year (currently 28p for each £1 you give) i.e. tax is paid at basic rate.
2. If you pay tax at the higher rate you can claim further tax relief on your Self-Assessment tax return.
3.You can cancel your declaration at any time by notifying us - if, for example, your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims. Your declaration will then not apply to donations you make on or after the date you specify for cancellation.
4.If you require any further information or are unsure whether your donations qualify for Gift Aid tax relief, please contact the Secretary at the Farnham Office or alternatively you can obtain leaflet IR113 Gift Aid from your local tax office.
5.It is important that you should notify us of any change in your name or address otherwise the claim for tax that we make with the Inland Revenue would not be traceable.