Reachout Trust Online Shop:

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DONATION FORM
Please fill in your details (If you would prefer to pay by Standing Order please do not fill in this form but email Head Office and they will send the necessary details.)
Title (Mr Miss Mrs etc.):-		Initials:-
Last Name:-
Address 1:-		Address 2:-
Town/City:-		County/State:-
Zip/Post Code:-		Country:-
E-mail:-		Telephone:-
Your Donation
I would like to give Ł to the work of Reachout Trust. Please indicate frequency of amount indicated above
Please check this box if you wish to be enrolled in Beneficial Giving yes Gift Aid Declaration
yes	I declare that the gift to Reachout Trust indicated on this form should be treated as Gift Aid donations on which tax can be reclaimed.
yes	I further declare that until I indicate otherwise all future gifts to Reachout Trust however they are sent should be treated as Gift Aid donations on which tax can be reclaimed.
yes	I also declare that I have paid an amount of income tax or capital gains tax equal to the sum of 28p for every Ł1 given. If these circumstances change I will inform you.

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Card Details
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	We can only accept those on this list
Card Name:-
Expiry Date:-		Issue Number if on card:-

Many thanks for your support, it is appreciated.