Making Your Gift to Friends Centre
Thank you for your donation to Friends Centre - it is greatly appreciated!
Please complete this form indicating how you would like to make your gift. Return your
completed form to the address overleaf.
____________________________________________________________________________________________
1. NAME AND ADDRESS
Title:
Full Name:
Home Address:
Telephone number:
Email:
We may acknowledge your gift publicly in our annual report, brochure or website. If you prefer
your gift to remain anonymous, please tick here 
 I am interested in leaving a gift to Friends Centre in my Will, please send me more information
_____________________________________________________________________________
2. GIFT AID – MAKING THE MOST OF YOUR GIFT
I wish Friends Centre to treat all donations I make on or after the date of this declaration as Gift
Aid donations.
PLEASE SIGN THIS SECTION ONLY IF YOU WERE A UK TAXPAYER ON THE DATE THE
DONATION WAS MADE.
Signed ……………………………………………………………
Date of Declaration …………………………………
We will reclaim 25p of tax on every £1 you give on or after 6 April 2008. The Government will pay us an additional
3p on every £1 you give between 6 April 2008 and 5 April 2011. This transitional relief does not affect your personal
tax position. You must pay an amount of income tax and/or capital gains tax at least equal in each tax year to the tax
that the charity will claim from HM Revenue & Customs on your Gift Aid donation(s) in the tax year.
Please notify Friends Centre if you:
1. Want to cancel this declaration.
2. Change your name or home address.
3. No longer pay sufficient tax on your income and/or capital gains.
If you pay income tax at the higher rate, you must include all your Gift Aid donations on your Self
Assessment tax return if you want to receive the additional tax relief due to you.
Please turn over to complete the form
3. GIFT INFORMATION
I would like to make a gift to Friends Centre of:
 £500
 £250
 £100
£75
 £50
 £25
 Other £…………………………………………..
 I enclose a cheque made payable to ‘Friends Centre’
 I would like to pay by credit or debit card
Cardholder’s name and initials as they appear on the card:
……………………………………………………
Card number:
   
Security Number: (last 3 digits on signature strip on reverse of credit/debit card or last 4
digits on AMEX)
Start date: / Expiry date: /
Issue no (Maestro/Switch only): 
Signed: ………………………………………………
Date: ………/………/………
____________________________________________________________________________________________
4. I WOULD LIKE MY GIFT TO BE DIRECTED TO
 The Patricia Norman Room
 Other (please specify) …………………………………………………………………….
PLEASE RETURN THIS FORM TO:
Robyn Kohler
Principal
Friends Centre
Brighton Junction
Isetta Square
35 New England Street
Brighton
BN1 4GQ
Data Protection Act (1998): Under the confines of this Action, we will use the information provided by you for
educational, social and charitable purposes only.
Friends Centre is a registered charity (Reference no.1102262)
Thank you for supporting Friends Centre!