Donation-Form-Word-Format

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DONATION

Please complete and return to the address below

I would like to support Kidneys for Life with a gift of:

£

Please make cheques payable to “Kidneys for Life”

Name

Address

Postcode

Telephone

Email

If you are a UK taxpayer, under the Government’s Aid scheme Kidneys for Life can reclaim the tax you have already paid on your gift. This means that your donation can increase in value by nearly a third at no extra cost to you. Please tick the box below if you would like Kidneys for Life to reclaim the tax on your gift.

If I have ticked this box I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want the charity above to reclaim tax on the donation detailed above, given on the date shown. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs I donate to, will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

Signature

Date

Please return this form to:

Irene Chambers

Fundraising Manager

Kidneys for Life fundraising for MINT

Renal Transplant Unit

Manchester Royal Infirmary

Oxford Road

Manchester M13 9WL

Tel: 0161 276 6671

THANK YOU FOR YOUR SUPPORT

Kidneys for Life fundraising for MINT

Manchester Institute of Nephrology and Transplantation (MINT)

Charity Registration No. 505256

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