SOUTHPORT OFFSHORE RESCUE TRUST

Registered Charity No 701971

Please print and complete this form and send with your donation

(together with, if appropriate, your Gift Aid Form) to –

The Treasurer
Southport Offshore Rescue Trust
110 Heysham Road
Southport PR9 7ED

I / We wish to make a donation and enclose a cheque / postal order

for £ ……………………

(Please make your remittance payable to Southport Offshore Rescue Trust)

(Please PRINT)

Title ………… Initials ………… Surname ……………………………………….

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

……………………………………………………………………………………………….

…………………………………………… Postcode ……………………………

If you would like to make regular donations (monthly or annually) please write to the Treasurer requesting
a bank / building society standing order payment form.

REMEMBER – IF YOU ARE A TAXPAYER PLEASE COMPLETE THE GIFT AID

FORM AS WELL SO THAT WE CAN MAKE THE MOST OF YOUR DONATION

If you require a receipt for your donation please enter your email address below –

………………………………………………………………………………
SOUTHPORT OFFSHORE RESCUE TRUST

Registered Charity No 701971

GIFT AID DECLARATION

(Please PRINT)

Title ……… Forename(s)……………………………………………….

Surname ………………………………………………………………….

Address ……………………………………………………………………

………………………………………………………………………………

………………………………………………Postcode ………………….

I want the Charity to treat -

the enclosed donation of £ ……………. as a Gift Aid Donation.

all donations I have made during the current tax year and the six years prior to the year of this declaration
and all donations I make from the date of this declaration, as Gift Aid donations, until I notify you otherwise.

Signature …………………………………. Date .……/….… /………….…

Please note that you must pay an amount of Tax at least equal to the tax that the charity reclaims on your
donations in the appropriate tax year. UK Taxes paid on income, capital gains and savings all qualify.

You can cancel this Declaration at any time by notifying the Charity.

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