Gift Aid declaration to print, complete and send to address below:

Name of Charity Topolski Memoir Ltd

Details of donor

Title …………

Forename(s) ……………………………………………………

Surname ………………………………………………………………

Address ……………………………………………………………….……………………..

…………………………………………………………………………………………………..

Post Code ……………

I want the charity to treat

*the enclosed donation of £ ……………….

*all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations.

Notes

You must pay an 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 28p for each £1 you give). If in the future your circumstances change and you no longer pay tax on your income and capital gains equal to the tax that the charity reclaims, you can cancel your declaration.

You can cancel this declaration at any time by notifying the Topolski Memoir Ltd

If you pay tax at the higher rate you can claim further tax relief in your Self- Assessment tax return.

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

When you have completed the form please SEND to:

Jane Hellings, Topolski Memoir Ltd, c/o ABL Cultural Consulting, 31 St Martin’s Lane, London WC2N 4ER.

The Topolski Memoir is a registered charity no 1103516


To details on How to Give to Topolski Memoir