Full Name: ………………..………………………


Address: ……………….……………………………………………………………………………………………………………………………


Post Code: …………………………………….


Date: …………………………………………..

I want the Church to reclaim tax on all donations I make from the date of this declaration until I notify you otherwise. I am a UK taxpayer and I note that I must have paid an amount of tax that at least equals tax deducted from my donations (28p for every £1 you give).
Please return this completed form to:
The Rector
The Rectory
Birch Heath Lane
Christleton
Chester CH3 7AP