THE ROTARY DOCTOR BANK of Great Britain and Ireland,

REGISTERED CHARITY NUMBER  1081630

We are supported by Rotary Clubs, Inner Wheel Clubs,  individuals and other interested Groups.  We are currently in need of funds to continue our vital work serving these rural areas.

Please give whatever you can. Regular donations, however modest, are particularly valuable.

As we are a Registered Charity, donations from individuals attract Gift Aid,  which increases the size of  donations by 25%.

We will not pass on your name and address to any other organisation.

DONATION FORM                                                                              Date_________

Name___________________________________________________________  

I/we wish to support the work of Rotary Doctor Bank GB & I by making:

*A single donation of:   £………………..

*A regular donation of  £……………….  every month / quarter / year*

(*please delete as appropriate)

Cheques should be made payable to The Rotary Doctor Bank.

Please send your donation to:   Mr G M Thomas,    16 Cefn Mount,  Dinas Powys,  The Vale of Glamorgan,  CF64 4AR
Tel:  029 20 512740.       

If you would like a Satnding Order Form, please E-mail  Rotary.doctorbank@gmail.com  

  GIFT AID DECLARATION     (please complete this if you are a UK taxpayer)

Title……….. Forename(s)………………………… Surname………………………..
Address …………………………………………………………………………………………..  …………………………………………………………………………………………………….. …………………………………………………………………                    Post Code……………………….

Please treat this and any future contributions to the Rotary Doctor Bank of Great Britain and Ireland as voluntary donations which can benefit from Gift Aid.  I confirm that I am a UK Taxpayer and I understand that other taxes, such as VAT and Council Tax, do not qualify.  I understand that the Charity will reclaim 25p for every £1 that I give.  If I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year, it is my responsibility to pay any difference.

Signature……………………………………………………………..  Date……………………….

Notes.

1.   You can cancel this declaration at any time by giving written notice to the Charity.

2.  You must pay an amount of income tax and/or capital gains tax at least equal to the tax that the Charity reclaims on your donation in the current tax year.

3.  Should the circumstances in 2 above change, please notify the Charity.

4.  If you pay tax at the higher rate, you can claim further tax relief in your Self Assessment Tax Return

  Please notify the Charity of any change in name or address