The Parochial Church Council of the Ecclesiastical Parish of
Freshford with Limpley Stoke and Hinton Charterhouse

Registered Charity No 1170099

St Peter’s Church, Freshford
St Mary’s Church, Limpley Stoke
St John’s Church, Hinton Charterhouse

Boost your donations by 25p of Gift Aid for every £1 you donate

Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

In order to Gift Aid your donations you must tick the box below:

☐  I want to Gift Aid any donations I make today, in the future or have made
in the past four years to:

Name of Charity: The Parochial Church Council of the Ecclesiastical Parish of
Freshford with Limpley Stoke and Hinton Charterhouse
Registered Charity No 1170099

I am a UK taxpayer and understand that 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.

My Details

Title ______________ First name or initial(s) _________________________________________
Surname: ___________________________________________________________
Full home address: ______________________________________________________________________________________________________________________________________         ___________________________________________________________
Postcode: __________________ Date ______________________

Please notify the charity if you:

• Want to cancel this declaration
• Change your name or home address
• No longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.