GIFT AID DECLARATION

Full Name: ………………………………………………………………

Address: …………………………………………………………………

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POST CODE ………………………                            

Please treat as Gift Aid donations

          all donations I have made to The Britain-Nepal Otology Service (BRINOS)

          since ....................................... (date)

          and all donations I make hereafter

Please remember to notify us if you no longer pay an amount of income

          tax or capital gains tax equal to the tax we reclaim on your donations

          (currently 25p for every  £1 you  give).