Donations

If you would like to make a donation simply print off this form, complete it (including the gift aid section if appropriate) and post to:

Love Me Love My Mind
St Barnabas Church
Temple Road
Epsom
Surrey
KT19 8HA.

I would like to make a donation of £_______ (Please make cheques payable to: Love Me - Love My Mind)

GIFT AID: If you are a UK tax payer, you can make your donation to Love Me Love My Mind worth almost a third more. By completing your details below, you’ll enable us to reclaim tax from the Inland Revenue on your gift. Please make sure these vital funds don’t go to waste - simply sign and enter today’s date now.

Name……………………………………………………………….

Address ………………………………………………………………………………..

…………………………………………………………………..Postcode …………………..


Signature ________________________________________Date ________________

* Please note to qualify for Gift Aid you must be a UK taxpayer and what you pay in income tax or capital gains must be at least equal the amount we will claim in the tax year.

*Please notify the charity if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains.

Thank you for your gift

Registered in England & Wales with Charity Number 1125595