Return form and Gift Aid declaration

If you would like to invest in the communities of Wales and help provide
for the future work of voluntary and community groups, please complete
this form and return it to Sefydliad: The Community Foundation in Wales.

Name __________________________________________________

Address________________________________________________

_______________________________________________________

______________________________ Postcode ________________

Telephone Number _______________________________________

Email Address ___________________________________________

I would like to talk to somebody from Sefydliad …………………..

I would like to become a Cymrodor:
Individual/Family ………………………………………………………………….
Group/Community ……………………………………………………………….
Corporate …………………………………………………………………………….


I enclose a cheque for £ ___________________________________
made out to the Community Foundation in Wales.

Banker’s order
To: The Manager _________________________________ Bank PLC

Bank Address ___________________________________________

_______________________________________________________

_______________________________________________________

Please pay the sum of £ ____________ on the _____ / _____ / _____
and on the same day of each month / quarter / year either until
further notice or for _______ years, starting today.

To: The Community Foundation in Wales
Account No 15567230 Sort code 52-12-10
At: National Westminster Bank Plc, PO box 246,
113 Bute Street, Cardiff, CF10 5SA

Gift Aid covers any donation from a UK taxpayer and tax benefits apply
to all donations, large and small. Please treat all my donations until
further notice as Gift Aid donations.

Signed__________________________ Date___________________


Notes: For your donations to qualify under Gift Aid 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). You can cancel this declaration at any time by notifying The Community Foundation in Wales.