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DONATION FORM

To make a contribution, please print out this form

 

Contributions to “ The Lansallos Church Restoration Fund ” are welcome and should be sent to the Chairman of the Fire Appeal: Mr John Feesey, Tresquite Mill House, Peakswater, Lansallos, Looe, PL13 2QE. Why not buy a few new slates for the roof? For a contribution of £5 per slate your name will be entered in a book with the individual numbers of the slates you have bought, for display in the church once the restoration is complete. By completing the Gift Aid Certificate below, and enclosing it with your donation, you will also enable us to claim an extra 28 pence in the pound from the Inland Revenue, at no extra cost or trouble to yourself:

LANSALLOS CHURCH FIRE APPEAL - Gift Aid Certificate

Full Name............................................................................... Date...............................

Address...................................................................................

................................................................................................ Amount..........................

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

Post Code............................ Signature..........................................

I am, a UK taxpayer intending tax to be reclaimed on the enclosed donation made under the Gift Aid Scheme (Cheques payable to: Lansallos Church Restoration Fund)