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The League of Friends
 of Fairford Hospital

( Reg. Charity No: 1006416 )


HOW TO BECOME A REGISTERED MEMBER OF THE LEAGUE OF FRIENDS

Please print out and complete this form and leave it at the Hospital.

I/We would like to become a registered member of the League of Friends

Name/s:

I am a member – my address has changed to:

Address:


New Address:


Postcode:


Postcode:


Tel code and No:


Tel code and No:


I ⁄ We would like to volunteer practical help ( e.g. we always need more car drivers)

HOW TO MAKE A DONATION

Gift Aid Declaration

You can give us extra help if you complete your details as follows and sign the income tax declaration. At no extra cost to you we can then claim back 28p for every pound that you give.
Please print out and complete this form.

Name:

I am a UK tax payer and my liability this year will cover the tax on this gift .

Address:


Postcode:

Date:


Please make cheques payable to: The League of Friends of Fairford Hospital

Please send your cheque with this form to:

Mr Jim Barge,
4 Wadham Close, Southrop,
Glos, GL7 3NR

THANK YOU FOR YOUR GENEROSITY


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