Mary Slessor Foundation Dundee, Scotland & Akpap Okoyong, Calabar, Nigeria Scottish Charity No. SC032781 Gift Aid Declaration

Please print out this page, complete the form and return it (along with your donation, if applicable) to:

Mary Slessor Foundation
Friends of Mary Slessor
9 Castle Street
Dundee
DD1 3AA
Scotland
UK

Personal Details - Please use block capitals (or fill in the boxes before printing).

Title Forename(s) Surname

Address

Postcode

I wish Mary Slessor Foundation to treat as gift aid donations the following (Please tick and complete as appropriate)

The enclosed donation of £

The donation(s) of £ made on

All donations from the date of this declaration until I notify you otherwise

All donations I have made since the 6th April 2001 and all donations I make from the date of this declaration until further notice

Signature .......................................................... Date ..............................

Please ensure that you have paid enough tax in the relevant year(s) to cover that which Mary Slessor Foundation will reclaim on your donations (currently 28 pence for each £1 you give). If you are unsure whether your donations qualify for Gift Aid tax relief, you can pick up a leaflet on Gift Aid from your local tax office.

Cancellation: You have the right to cancel this declaration at any time. The cancellation will apply to all donations made after we receive your notification, or a later date if you specify one.