George Adamson Wildlife Preservation Trust
(a charity registered in England under number 279598)

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GIFT AID DECLARATION

I wish GAWPT to reclaim tax on all my donations made to GAWPT on or after the date of this declaration until I notify you otherwise (see note)

Details of donor:

Full Title:.................Forenames:..........................................Surname:.............................................. Address:.............................................................................................................................................. ...............................................................................................................Post Code:............................

Signed:...................................................................................................Date:........./........../...............

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BANKERS ORDER (Do not complete for single donations)

To the Manager:...........................................................................................................Bank Address:............................................................................................................................................. ................................................................................................................Post Code:..........................

Sort Code:...................................................Your A/C No:................................................................

I (full name)........................................................................................................................................ of (full address).................................................................................................................................. ..................................................................................................................Post Code:........................ request that you pay to The George Adamson Wildlife Preservation Trust, National Westminster Bank plc, Sort Code 60-05-14 A/C No: 03739392, PO Box 3048, 224, Kings Rd., London, SW3 5XJ the sum of £..............................(amount in words)............................................. ............................................................................................................................................................ annually/monthly for ...........................................years from the ............/............./20.....................

Signature:..................................................................................................Date:........./........../20......

Send completed form to:

George Adamson Wildlife Preservation Trust
16a Park View Road
London N3 2JB
United Kingdom

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