St Mary's Church Bridgwater

Chair Subscription Appeal Form


Please complete the following:-

Chairs

I would like to purchase a chair   Yes/No

I would like to purchase …....... chairs.

I would like to contribute to a chair   Yes/No

I would like further details of the monthly payment scheme     Yes/No

I would like to make my payment by

Cash      £ ............

Cheque  £............  (payable to St. Mary's PCC)

I would like the following words inscribed on the plaque 

……………………………………………………………



Gift Aid   
   
If you would like Gift Aid to be claimed on your donation, please complete the following declaration.

I wish Gift Aid to be claimed on this donation.  I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax in the current tax year than the amount of Gift Aid claimed on all my donations it is my responsibility to pay any difference.

I would like to Gift Aid my donation of    £.................  to St. Mary's church.

Your signature …............................................................. 

Date ….......................

Your name (in capitals) …....................................... 

Your phone no. ….............................

Your address  ….........................................................................................

Your e-mail address ….......................................................

Gift Aid is reclaimed from the tax you pay for the current tax year.  Your address is needed to identify you as a tax payer.


Please send this completed form to:-   St. Mary's Special Appeal,  St. Mary's Church, St Mary Street,
Bridgwater, TA6  3EQ