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GIFT AID FORM

You can be a FRIEND by an annual donation of £25

(a)I wish to become a Friend*
(b)I wish to renew my membership*
(c)I wish to make a donation to the “Friends of Royal Cornhill Hospital”*

*Delete which is not applicable*

NAME - ___________________________________

ADDRESS -_______________________________________________

POST CODE - ___________

DATE – _________________

GIFT AID:
To allow us to claim back the tax on your donation, please sign below.
As a UK taxpayer, I acknowledge that I must have paid an amount of Income Tax or Capital Gains Tax equal to the tax deducted from this donation.

Signature -_____________________

Please tick this box if you are not a taxpayer □

Please send donations, cheques made payable to the “Friends of Royal Cornhill Hospital” to:
The Chairperson, Friends of Royal Cornhill Hospital, C/O Royal Cornhill Hospital, Aberdeen, AB25 2ZH.