Gift Aid Certificate

Please note: if you have already completed a Gift Aid Certificate for us, there is no need to send this form.
Please ensure you have ticked the correct box on your donation form.

please complete this form on your computer,
click the 'Print' button at the bottom of the form: sign and date it
and send it, along with your donation/standing order to:

The Buddhavihara Temple, Eastfield House, Alrewas Road, Kings Bromley, Staffordshire DE13 7HR

Please treat all my donations from 6th April 2000, until further notice, as Gift Aid. I confirm that I pay UK income tax or capital gains tax at least equal to the tax that the Buddhavihara Temple will reclaim on my donations
Name
Signature
Date

Thank you for making this loan to The Buddhavihara Temple