Purchase Confirmation – Southport and Area Schools Worker Trust

Name *

First

Last

Layout

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

If you have decided to make a ONE-OFF donation, please state the amount:

Please select the method in which you have made your kind donation to our work: *

Please select how you will deliver your donation: *

If you have set up a REGULAR MONTHLY donation, please state the amount:

Please select the method in which you have set up this regular donation: *

Please tick if you wish to Gift Aid all your donations made today, in the future, and in the past 4 years:

Yes. I am a tax payer.

By ticking above, I confirm that I have paid or will pay an amount of income tax and/or capital gains tax for each year (6th April to 5th April) during the last five years, and in the future, that is at least equal to the amount of tax ALL the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as V.A.T. and Council Tax do not qualify. I will inform “Southport & Area Schools Worker Trust” if this ceases to be the case. I understand that “Southport & Area Schools Worker Trust” will claim 25p on every £1 of the donation I have given.

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