Gift Aid Declaration

Imdadul Muslimeen

(Regd. Charity No. 328381)

17/19 Dock Street, Blackburn, Lancs., United Kingdom.

BB1 3AT - Tel. 01254 681157

Donor’s details:

Full Name: .....................................................................................................................

Address (inc. postcode): .............................................................................................

 ....................................................................................................................................... ........................................................................................................................................

Tel. No...................................................  Mobile: .........................................................

Declaration:

I want Imdadul Muslimeen charity to treat all donations I have made since 6 April 2000, and all donations I make onwards from the date of this declaration, as Gift Aid donations until further notice. I know that I must pay an amount of income/capital gains tax at least equal to the tax the charity reclaims on my donations in the tax year.

Date: ............................................

Signature:.....................................