The Methodist Church
WHITECHAPEL MISSION

212, Whitechapel Road
London, E1 1BJ

Tel: (020) 7247 8280
Fax: (020) 7377 5762
email: mission@whitechapel.org.uk

Registered Charity Number: 227905

I _________________________________________________________
(Full Name)

of ____________________________________________
(House name, or Number, Street Name)

_____________________________________________________________________________

_____________________________________________________________________________
(Town/City)

______________________________________________ Postcode ___________________

	wish this donation of £____________ to The Whitechapel Mission to be a Gift Aid donation made after deductions of income tax.
	wish this donation of £____________ and all donations I make after the date of this declaration to The Whitechapel Mission to be Gift Aid donations made after deductions of income tax.
	wish to make a simple donation of £____________ to The Whitechapel Mission without it being a Gift Aid donation.

please tick the box as appropriate

Signed: ____________________________ Dated: ______________

Please note: The amount of income and/or capital gains tax you pay during the fiscal year must at least equal Income Tax at the standard rate on the total Gift Aided donations.