Donations for Lancashire CPRE

Please complete and return to: Lancashire CPRE, Station Road, Bamber Bridge, Preston, Lancs, PR5 6TN

I would like to make a gift of:

£15 () | £25 () | £50 () | £100 () | £250 () | Other £_________
Thank you.

Payment

() I enclose a cheque/PO made payable to Lancashire CPRE.
() I wish to pay by Mastercard/Visa/American Express/CAF Charity Card.

Total amount £________________
Card no. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Expiry Date _ _ / _ _

Signature ______________________

Gift Aid Declaration

Completing this section allows us to claim the tax back from your donation.

Name of charity: Lancashire CPRE Registered Charity No: 221244 Details of taxpayer

Title______ Forename(s)_______________________ Surname _________________________

Address _________________________________________________

_________________________________ Postcode ______________

I want the charity to treat:
• all donations I make from this declaration until I notify you otherwise* or
• the enclosed donation of £___________ (please delete as appropriate)
as Gift Aid donations.

*If your declaration covers donations in the future, please notify us if you change your name or address while the declaration is still in force. You can cancel the declaration at any time by notifying CPRE - it will then not apply to donations you make on or after the date of cancellation or such later date as you specify.
Notes
You must pay an amount of income tax and/or capital gains tax at least equal to the tax that CPRE reclaims on your donations in the tax year. If your circumstances change in the future and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration (see * above). If you pay tax at the higher rate you can claim further tax relief in your Self Assessment tax return. If you are unsure whether your donations qualify for Gift Aid ring Lancashire CPRE on (01772) 627510. Or you can ask your local tax office for leaflet IR113 Gift Aid.