Gift Aid Form

Oasis Church Southampton, Reg. Charity no. 1045724

Sort code: 08-92-99, Account No: 65322529

The co-operative Bank, PO Box 250, Delf House, Southway, Skelmersdale WN8 6WT

First Name *

Last Name *

Email Address *

Street Address *

City *

County

Postal Code

Country

Additional notes0 / 180

Declaration

By filling this in I want the charity to treat all donations I make from the 01/01/2010 until I notify you otherwise as Gift Aid donations.

1. Please notify the charity if you change your name or address.

2. You must pay the amount of income tax and/or capital gains tax at least equal to the tax that the charity reclaims on your donations in the tax year(currently 25p for each £1 you give)

3. If in the future your circumstances change and you no longer pay tax on your income and/or capital gains equal to the tax that the charity reclaims, you can cancel your declaration.

Date filled in *

Please put name here in lieu of signature.