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Yes, I would like to send a gift of money to support the Walsgrave Hospital Kidney Patient’s Association in their work of helping Kidney Patients. Important - If you are a UK taxpayer, please complete the Gift Aid Declaration as well as the form below; this enables us to reclaim the tax on all donations you make to the WHKPA.I enclose my cheque / postal order payable to the "Walsgrave Hospital KPA" for the sum of .......................(sorry, we are unable to accept credit card details). I (do ) /(do not ) require a receipt .
The following section is optional - please ignore it if you do not want the WHKPA to re-claim tax. If you are a UK taxpayer, and complete the following Gift Aid Declaration as well as the form above, the WHKPA will be able to reclaim the tax on all donations you make to the WHKPA (28p for each pound donated). Declaration I am a UK taxpayer and want the Walsgrave Hospital Kidney Patient’s Association to reclaim the tax on all donations I make on or after the date of this declaration. My tax bill this year will be more than this donation. Signature.............................................................................date.......................................... Please print out this page and send it by post with your cheque (Made payable to Walsgrave Hospital KPA ) to: C. Meyrick, 25 Arbour Close, Rugby,CV22 6EH Thank You very Much Your donation will make a difference |