I would like to donate a gift of £___________

Please use this gift where it is most needed
Please use this gift specifically for project number ____-_______*
*Barnabas Fund may use this gift for another project if the one indicated is sufficiently funded

I enclose a cheque/postal order made payable to Barnabas Fund

Please debit my: Visa / MasterCard / Amex / Maestro / CAF

Name (as on card) ____________________________________________________________

Card Number ___________________________________________ Expiry Date __________________

Start Date ______________________ Issue Number ______

Signature________________________________ Date_______________

I do not require acknowledgement of this gift
I do not wish to receive information on Barnabas Fund

Gift Aid Declaration

Please treat as Gift Aid donations all qualifying gifts of money made (Please tick all boxes you wish to apply):

I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I give.

Please notify Barnabas Fund if you:

• Want to cancel this declaration
• Change your name or home address
• No longer pay sufficient tax on your income and/or capital gains

If you pay Income Tax at the higher or additional rate and want to receive the additional tax relief due to you, you must include all your Gift Aid donations on your Self-Assessment tax return or ask HM Revenue and Customs to adjust your tax code.

Once completed please send this form to:

Signature______________________________ Date _____________________

(Applicable to UK tax payers only)
If you have previously signed a Gift Aid Declaration for Barnabas Fund, you do not need to sign again.