LISMORE
RUGBY FOOTBALL CLUB
Gift
Aid Declaration Form
Name (please print) ….…………………………………………………………………….
Address………………………………………………………..………………………………
…………………………………………………………………………………………………
…………………………………………………………………………….……………………
Postcode………………………………………………………………………………………
T o The Treasurer, Lismore Rugby Football Club,
36 Craigleith Road, EDINBURGH EH4 2DP
Please reclaim tax on (please tick appropriate box)
all my donations on or after the date of this declaration.
all donations I have made since ……………………………………………..
and all donations I make hereafter
the enclosed donation
Signature………………………………………………………………………..
Date …………………………………………..
Yes, I would like Lismore Rugby Football Club to treat all my donations from the last six years until further notice as Gift Aid. I confirm I am a UK income tax payer and the amount of tax I pay each year exceeds the amount I would like Lismore Rugby Football Club to Claim i.e. 28p for every pound donated.
Inland Revenue Charitable Reference Number CH05797
MUNICIPAL DISTRICT OF DUNGARVAN LISMORE CONTROL OF PARKING
SOUTHERN CROSS UNIVERSITY LISMORE BAR THE NEW SOUTH WALES
Tags: declaration form, football, lismore, rugby, declaration