East Kent Provincial Charities Association

Registered as a Charity No. 1023859

EKPCA, 11, Boorman Way, Estuary View Business Park, Whitstable, Kent, CT5 3SE

Tel: 01227 272944

    Email:   Website: www.ekpca.org.uk

 

 GIFT AID DONATIONS by ENVELOPE

 

Those listed below have completed envelopes containing Gift Aid declarations, they are UK taxpayers, and request income tax refunds on the sums given, which are from their personal taxed incomes.

  

 

Lodge/Chapter/Other Order (name & no.):                                                                             

 

Meeting date:                                                         EKPCA account no.

 

Charity Steward:                                                    Email Address:

LAST NAME

FIRST NAME

HOUSE No

or NAME

POST CODE

AMOUNT GIVEN £

DATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Use as many forms as you require but do not write on the back. Enter a separate total for each form.  

 

Total Donations  £

 

 

 

To be completed by EKPCA           Date received: ______________

 

Tax to be reclaimed on above donations: £                           Claim Ref: