I Would Like to Become a Friend of Dedham Church

I would like to become a Friend of Dedham Church

Name ……………………………………………..

Address ……………………………………………

…………………………………………………….

Postcode …………………………………………..

Telephone …………………………………………

Email ……………………………………………...

Membership per annum

Individual Friend £12

Overseas Friend £25

Corporate Friend £50

I enclose a donation of £………………

I enclose my cheque for £……………... Please make cheques payable to Friends of Dedham Church

Gift Aid Declaration I declare that all donations that I may make to the Friends of Dedham Church from the date of this donation are to be treated as Gift Aid donations and I also confirm that I wish the charity to reclaim tax on these donations as permitted by the Gift Aid regulations.

Signature …………………………………………

Note to donor: Please note that it is necessary for you to have paid an amount of income tax or capital gains tax equal to the amount that we reclaim. Please notify us if you no longer pay sufficient tax for your donations to qualify for Gift Aid.