T H E   T W I C K E N H A M   M U S E U M

Registered charity no 1028984

To make a donation by cheque or money order please print and complete this form and post with your payment to:

The Honorary Treasurer

The Twickenham Museum

25 The Embankment

Twickenham

TW1 3DU.

Name:

Address:

Postcode:

I wish to make a donation of …................… and enclose a cheque/money order payable to The Twickenham Museum.

If you are a UK tax payer please read this declaration and then sign and date this form below

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 25p of tax on every £1 that I give on or after 6 April 2008.

Signature:

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