Back (Donations and Support)
Back (Adoption) Please print out
this form and fill in the details.
Gift Aid Declaration to Backhouse Horse Welfare, Assessment & Therapy Centre ( Jigsaw )
Name of
Horse/Pony ___________________________________________
Full Name ___________________________________________
Full Address ___________________________________________
___________________________________________
___________________________________________
Post Code
____________________________________
I wish Backhouse Horse Welfare,
Assessment & Therapy Centre (Jigsaw) Charity No. 1076910 to reclaim tax on all
donations made since 6th April 2002, and all donations I make from the
date of this declaration until I notify you otherwise.
Signature ____________________________
Date ____________________________
Note
1: Current deeds of covenant are
treated as Gift Aid from 6th April 2002.
Please
sign this form to cover any donations you make;
Note
2: Please notify us if you no longer
pay the amount of income tax or capital gains tax equal to the tax we reclaim on
your donation. (£0.28p for every £1 you give).
Please
send this form to the address below:
JIGSAW
Backhouse
Stables, off Hall Lane, Mawdesley, Lancashire, L40 2QY
Tel: 01704-822821 or 0906 6420640 [Calls charged at Premium rate- £1/min] All profits to Jigsaw
Thank you for your support!
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