Please print this form a send it together with your donation to: Simon Paul Foundation The Tower Room Library & Information Centre London Road Swanley Kent BR8 7AE Please make cheques payable to The Simon Paul Foundation

GIFT AID DECLARATION I (full name).................................................................................................................. Of (address)................................................................................................................. .................................................................................................................................... ........................................................................ Post Code: ........................................ Give to the Simon Paul Foundation (amount of your gift sent to us) £.......................... on (date) ......... / ........./ .......... and would like his, and any subsequent donation I make to be a Gift Aid Donation, unless I specify otherwise. I understand that I will need to pay enough Income Tax or Capital Gains Tax during the year to cover the tax reclaimed by the charity (28.2% of the value of your gift) Signed: ........................................................... Date: ................................................. Would you like more information? - Please tick the appropriate box Please send me your information leaflet Making a regular donation through my payroll Making a regular monthly donation Becoming a volunteer Having a talk on the Simon Paul Foundation at your local group Helping at collections and events We acknowledge every donation. However, to help with costs, if you do not require an acknowledgement please tick the box If you would like your contact details to be added to our mailing list please tick the box