Cornish Christmas Giving – Payment Instructions

(1) Please enter below the organisation/s of your choice/s which you would like to purchase a certificate for:

Number
In
Catalogue / Name of Charity / Amount £ / Description
Eg (12) / Penzance Foodbank / £20.00 / Supplemented fresh food

Please continue on separate sheet if necessary

(2) Please complete the following details:

Your name:

E-mail address:

Address:

Postcode:

Some of the projects can claim gift aid. If you are a UK taxpayer, the value of your donations increases by 25% - please see separate Gift aid form

(3) Where would you like the certificate sent? (if different from above):

Your name:

E-mail address:

Address:

Postcode:

Would you like the certificate to be posted or or e-mailed t tothe person identified?

(please mark appropriate box)

(4) Payment: Please complete this payment form for all forms of payment:

Online: Via PayPal - steps to ‘Send someone money’ and use the CIPF e-mail address to pay to, and also complete this payment form and e-mail this as well to

Cheque: Please make cheques payable to the Cornwall Independent Poverty Forum and send together with payment form to Cornish Christmas Giving, Diocesan House, Kenwyn, Truro TR1 1JQ.

Cash: This can be received, and certificates issued, at Diocesan House - please contact the CIPF administrator to make an appointment first 07582 736531.

(5) Last date of issue postal of certificates: Wednesday 18th December 2013. Last date for exchange at Diocesan House: Friday 20th December 2013

(For all enquires contact Alison Mandeville, CIPF, 07582 736531 e-mail: )

Personal data supplied on this form will be kept only for CIPF record purposes and will not be divulged to a third party, other than for gift aid claims

Cornish Christmas Giving – Gift Aid

If you are a UK taxpayer, the value of your donation(s) increases by 25% under the Gift Aid Scheme. Please complete the form below and either e-mail to or post to Cornish Christmas Giving, Diocesan House, Kenwyn, Truro TR1 1JQ

Cornish Christmas Giving - Gift Aid

Some of the charities/organisations listed in the Cornish Christmas Catalogue are able to claim gift aid on your donation. If you are a UK taxpayer, the value of your donation(s) increases by 25% under the Gift Aid scheme. If you have purchased a gift from one (or more) of the organisations below, and can fulfil the gift aid criteria statement, please complete the following form which will be forwarded direct to the organisation(s) you have identified (please tick appropriate box(s):

Active 8 Truro Foodbank

Restormel MindChurches together in the Penzance area

STAK

Gift Aid declaration – for a single donation

Name of charity/organisation (one of the above):

Please treat the enclosed gift of £as a Gift Aid donation.

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for the current tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for the current 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.

Donor’s details

Title:First name or initial(s):

Surname:Address:

Postcode:

Date:Signature:

Please notify the charity or CASC if you:

  • Want to cancel this declaration
  • Change your name or home address
  • No longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Personal data supplied on this form will be kept only for CIPF record purposes and will not be divulged to a third party, other than for gift aid claims