CRICH MEMORIAL TOWER FUND - REGISTERED CHARITY NO 1053684 GIFT AID DECLARATION

If you are a UK tax payer and you wish to make a donation to the WFR Crich Memorial Tower fund, it may with your permission, be treated as a "Gift Aid" donation. This allows the Trustees of the Crich Memorial Tower fund to reclaim the tax paid on the donation, thus increasing the value of your donation. (Currently 28p for every �1 you donate). Should you agree to this and you pay an amount of income tax or capital gains tax equal to the tax we will reclaim on your donations, please complete this form and forward it to:

RHQ WFR

Foresters House

Chetwynd Barracks

Beeston

Nottingham

NG9 5HA

I would like the Crich Memorial Tower fund to reclaim tax* on this donation and any donation I make in future.

Name_______________________________

Address_________________________________________________________________

____________________________________Date:________________

Amount:........................

*Please let us know if you change your address or if you no longer pay an amount of income tax or capital gains tax equal to the tax we will reclaim on your donations.

You may cancel this declaration at any time.

Cheques/Postal Orders should be made payable to: RHQ WFR Memorial Tower Fund