Gift Aid Declaration

Your details (CAPITALS PLEASE)
Mr/Mrs/Miss/Ms Full Name.....................................................................................
Home Address...........................................................................................................
.....................................................................................................................................
.............................................................................................Postcode.......................
Email...........................................................................................................................
Telephone...................................................................................................................

Signature........................................................................Date......................................
Please pay Action Village India my chosen monthly/quarterly/annual (please choose) amount of £ …........Amount in words …………………….............................
Please specify which programme you wish to support or leave blank to allow us to allocate your donation where there is greatest need:..................................................

To the Manager (name and address of your bank):
.......................................................................................................................................
................................................................................................Postcode........................
Please credit the amount shown above to Action Village India,
Account no. 00340397, Sort Code 12-01-03, Bank of Scotland,
38 Threadneedle St, London EC2P 2EH.

Debit my account number............................................................................
Account name...............................................................................................
Bank sort code.............................................................................................
Starting on (date) ……………… or immediately on receipt of this order whichever is the latest and thereafter on corresponding dates each month/quarter/year.

The Standing order cancels any previous standing order by me in favour of Action Village India.Yes/No

Gift Aid Declaration If you are a taxpayer we can make your membership and donations worth 25% more by reclaiming tax that you have already paid them.

I want AVI to treat the enclosed donation of £____as a Gift Aid donation and agree that all donations I make from the date of this declaration until I notify you otherwise, as Gift Aid donations.

Signature_____________________________ Date __________

You must pay an amount of Income Tax and/or Capital Gains Tax at least equal to the tax that the charity reclaims on your donations in the appropriate tax year (currently 25p for each £1 you give).