DONATION FORM

Please print and post this form to:

PO BOX 4901, London SE16 3PP

or Email to

FOR ONLINE DONATION PLEASE CLICK here

FOR ONLINE REGULAR DONATION (SPONSORSHIP) PLEASE CLICK here

FILL IN WHERE APPEARS “. .“ AND BOXESBELOW. SIGN WHERE APPROPRIATE

PLEASE ACCEPT MY GIFT OF:

£100 £50 £30 £20 £15 Other £. . or Currency . .

I WOULD LIKE TO PAY (PAYABLE TO TASK BRASIL TRUST) BY

Cheque Postal Order CAF Standing Order* OTHER . .

(FILL IN DETAILS BELOW)

or By Credit Card / Debit Card

AMEX MastercardVisa CAF card OTHER: . .

______/ __ __/ __

Card No. Expiry Date Issue Date

**Signature:______Date: . .

*(for GIFT AID declaration please sign in the box on this page right hand side)

*BYSTANDING ORDER

I would like to make a regular contribution :

To the manager Bank/Building Society: . .

Address:

City: . .Post Code: . .

Full Name of account holder(s):__

Sort Code: ____- ____- ____Account number: ______

PLEASE DEBT MY ACCOUNT:

Date of first payment: . .. Thereafter on . . st/nd/rd/th of the MONTH

Amount: £ . . per month quarter half year ☐yearly\

Signature*:______Date: . .

*(for GIFT AID declaration please sign in the box on this page right hand side)

UK Bank Use Only

Please make the standing order payable to :

Task Brasil Trust

Barclays Bank, Southwark Branch

Account No. 50888982 Sort Code 20-80-57

GIFT AID DECLARATION

Task Brasil Trust, please treat as Gift Aid donations all qualifying gifts of money made:

Double clickto tick all boxes you wish to apply

Today

in the past 4 years

in the future

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 28p of tax on every £1 that I gave up to 5 April 2008 and will reclaim 25p of tax on every £1 that I give on or after 6 April 2008.

*Signature: ______

Date: . .

*Please print and post this form to:

Task Brasil Trust

GA Desk,

PO BOX 4901,

London SE16 3PP

Please notify Task Brasil if you:

  • Want to cancel this declaration;
  • Change your name or home address;
  • No longer pay sufficient tax on your income and/or capital gains.

If you pay Income Tax at the higher rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code

Personal Data and Privacy Policy -Task Brasil will not sell your details to other organisations for marketing purposes. Occasionally we will inform you of our work, including appeals and how donations have been used. I would like to NOT receive periodically information about the progress of Task Brasil and its projects

Charity Registered in England & Wales: 1030929

US 501(3), EIN 26-0037715, DLN 17053095017032

Brazilian Auth. DOU Sec 1, pg 200066 08/10/96

March 2013