FREEDOM ministries registered charity number 327526

GIFT AID DECLARATION

My Full Name... ... . . . ... ... . . . ... ... ... ... . .. .. . ... ... ... ... ... . .. ... ... ... ... ... ... . . . ...

My Address (include postcode). . . .. . . .. ... ... ... ... ... ... . .. ... . .. ... . . . . .. ... ... .. . ... .

... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ... ......

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Date... ... ... ... ... ... ... . .. ... . .. . .. ... ... .. . ... .. . ... ... ... ... ... ... '" ... ... ... ... ... . .. ...

1 want Freedom Ministries charity to treat the following as Gift Aid donations.

(Delete as appropriate)

The enclosed donation of £... ... ... ... ... ... .........

The donation of £... ... ... ... ... ... ... ... ... ...1 made on... ............................................ ... ... ... ...

dd/mm/yy

All donations 1 have made since 6th April 2000, and all donations 1 make from the date of this declaration until further notice.

I know that I must pay an amount of income tax/capital gains tax at least equal to the tax the charity reclaims on my donations in the tax year.

NAME IN CAPITALS... ... ... ... ... ... ... ... ... ... .SIGNATURE... ... ... ... ... ... ... ... ... ....

,DIRECT DEBIT

Date of signing................................ ... To The Manager (name and address of your bank/building society

..…………………………………………………………………………………………………………………………………………..

Please pay on the......... ...day of the month of... ... ............. .200 the sum of

... ... ....................... ... .. . ... ........................ .. . .. . .. . ... ... ... In figures (... .. . ... .. .. .. ... ... ... .. ..)

To National Westminster Bank PLC, West Bridgford branch 52 Rectory Road West Bridgford,

NOTTINGHAM, NG2 6BU (54-21-47) for the credit of Freedom Ministries (alc no. 04151933) and thereafter make like payments monthly/quarterly/annually* until this order is cancelled.

My account number is............ .. . ... ... ... ... ... .. . .. . .. . ... ... . .

Signature... ... ... ... ............... ... ... .. . ........ .. ... ... ... ... ... ... Name (in caps.)............... ... ... ... ............ ... ...