Cornish Christmas Giving – Payment Instructions 2014

(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 (20) / 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 and gift aid form and e-mail this as well to

Cheque: Please make cheques payable to the Cornwall Independent Poverty Forum and send together with the payment(and gift aid form where appropriate) to Cornish Christmas Giving, Church House (nb Diocesan House’s new address wef 29.9.14), Woodlands Court, Truro Business Park, Threemilestone, Truro, Cornwall TR4 9NH.

Cash: This can be received, and certificates issued, at Diocesan House - please contact the CIPF administrator to make an appointment first 0755 779 3446.

(5) Last date of issue postal of certificates: Friday 19th December 2014. Last date for exchange at Church House: Tuesday, 23rd December 2014.

(For all enquires contact Alison Mandeville, CIPF, 0755 779 3446 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, Church House (nb Diocesan House’s new address wef 29.9.14), Woodlands Court, Truro Business Park, Threemilestone, Truro, Cornwall TR4 9NH.

Cornish Christmas Giving 2014 - 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):

CTIPA Street PastorsCTIPA Breakfast Project

CTIPA FoodbankSt Petroc’s

DCFA Lostwithiel HubCaradon Befriending

Women’s RefugeOasis Centre

SamaritansIsles of Scilly Medical Launch

Penhaligon’s FriendsActive 8

Truro FoodbankRestormel MIND

STAK

Gift Aid declaration

Name of charities/organisations:

Please treat the enclosed gift/s 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