Please print the form below and return to the address at the bottom of the page - thank you

ALL HALLOWS PARISH CHURCH
DEVELOPMENT FUND - DONATION FORM


I, (Mr,Mrs,Ms) ..................................................................

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

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

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

Post Code:..............................................

Tel no: ...................................................

wish to make a donation of: £............................ to the Development Fund

I wish my donation to be used as indicated below (
please tick one box)

[ ] For whichever project is the current priority of the Parochial Church Council

[ ] The specific development project named below

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

And I

[ ] Enclose a cheque/postal order

[ ] Request this sum to be taken on my credit/debit card detailed below:

Card no: ............................................................................ Valid from: ..................... to ......................

Cardholder name: (
as appears on the card) .......................................................................... Issue no: ..............

[ ]
Gift Aid: Please treat the enclosed donation as Gift Aid. I understand that I must have paid income tax or capital gains tax equal to the tax reclaimed on it.


Signed:.................................................................................................. Dated:........../........../..........

PLEASE RETURN TO: C/O THE TREASURER, ALL HALLOWS PARISH CHURCH, SHELLEY LANE, KIRKBURTON, HUDDERSFIELD, WEST YORKSHIRE, HD8 0SJ.

Thank you for your donation

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