Name *

First Name

Last Name

Address *

Address 1

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Please treat as Gift Aid Donations all Giving to Capital City Church International (Please tick all you wish to apply). *

Today’s Gift

In the past four years

Future Gifts

Please confirm the following. *

I confirm that I have paid or will pay an amount of Income Tax (and/or Capital Gains Tax) for each year that is at least equal to the amount of tax that all the Charities that I donate to will reclaim on my gifts for that tax year. I understand that Capital City Church International will reclaim 25p on every £1 that I give.

I confirm that I will inform Capital City Church International if I would like to cancel this declaration or if I change my name or home address or if I no longer pay sufficient tax in Income Tax (or Capital gains Tax).

If I pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to me then I must include all my Gift Aid Donations on my Self Assessment Tax Return or ask HMRC to adjust my Tax Code.