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Sponsor’s full name |
Home Address: |
Post code: |
£ |
Date paid |
Gift Aid (√) |
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Total donations received |
£ |
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To be completed by the charity:
Date money received
Total Gift Aid donations
£
x22/78 =
£
tax reclaimable £
Children’s Health & Research Involves your Support
We believe the cures out there please help us find it
www.chrislucastrust.com