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\sbasedon0 \snext19 footer;}}{\info{\title I WOULD LIKE TO SUPPORT THE FOLLOWING: GENERAL FUND RETREATANT SUPPORT FUND}{\author Michael}{\operator Michael}{\creatim\yr2005\mo11\dy6\hr12\min32}{\revtim\yr2005\mo11\dy6\hr17\min6}{\version4}{\edmins274}
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Please return this to Gaia House, West Ogwell, Newton Abbot, }{\b\f111\fs20 Devon TQ12 6EN, United Kingdom}{\b\f111\fs20  \tab \tab Thank you}{\b\f111\fs20 
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\f1\fs22\cf17\lang1033\langfe1033\langnp1033 I WOULD LIKE TO SUPPORT THE FOLLOWING AT }{\b\f1\fs22\cf17\lang1033\langfe1033\langnp1033 Gaia House}{\f1\fs22\cf17\lang1033\langfe1033\langnp1033 : GENERAL FUND/ RETREATANT SUPPORT FUND
\par 
\par }\pard\plain \s1\ql \li0\ri0\keepn\widctlpar\faauto\outlinelevel0\rin0\lin0\itap0 \b\f1\fs22\cf17\lang1033\langfe1033\cgrid\langnp1033\langfenp1033 {BY ONE OFF DONATION
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\par }{\f1\fs22\cf17\lang1033\langfe1033\langnp1033 Title: ___________ Forename ________________________________ Surname _________________________________________
\par 
\par Address: _______________________________________________________________________________________
\par 
\par _______________________________________________________________________________Post Code _____________________
\par 
\par I enclose a cheque or credit/debit card donation of \'a3 ________________ Card No:______________________________________ 
\par 
\par Expiry date: _____________ Signature:__________________________________ ____ Date __________________
\par 
\par 
\par }{\b\f1\fs22\cf17\lang1033\langfe1033\langnp1033  BY REGULAR PAYMENT \endash  DIRECT DEBIT/STANDING ORDER INSTRUCTION
\par 
\par Your Bank Details   }{\f1\fs22\cf17\lang1033\langfe1033\langnp1033 To The Manager, Name of Bank ____________________________________________________ 
\par 
\par Account Number _____________________________________ Branch Sort Code ____________________
\par 
\par Address of Bank__________________________________________________________________________________
\par 
\par Name on Account _______________________________________
\par 
\par Please credit the bank account of Gaia House Trust, account number: 0626180; Sort code: 30-96-06 held at Lloyds Bank, 41 Courtenay Street, NewtonAbbot, Devon, TQ12 2Q, 
\par 
\par the sum of \'a3 _______________ to be paid on the __________of each: }{\b\f1\fs22\cf17\lang1033\langfe1033\langnp1033 month / quarterly / half yearly / yearly }{\i\f1\fs18\cf17\lang1033\langfe1033\langnp1033 (cross out whichever is not applicable)
\par }{\i\f1\fs22\cf17\lang1033\langfe1033\langnp1033 
\par }{\f1\fs22\cf17\lang1033\langfe1033\langnp1033 The first payment to be paid on: Date: ________________\tab \tab Signature:_____________________________________
\par 
\par }{\b\f1\fs22\cf17\lang1033\langfe1033\langnp1033 PLEASE READ INFORMATION ABOUT GIFT AID: }{\b\f1\fs22\cf17\lang1033\langfe1033\langnp1033 Gift Aid Declaration
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Please complete this simple declaration if you would like us to claim tax on your donation under the Gift Aid scheme. In order for us to claim tax you must be a U.K tax payer, i.e. you must pay an amount of income tax or capital gains tax equal to the 
tax we reclaim on your donation. I want my donation/direct debit/standing order to be a Gift Aid donation and ask Gaia House to reclaim the tax due.
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\par Signature }{\f1\fs22\cf17\lang1033\langfe1033\langnp1033 ______________________________________________________________________________________________}{\f1\fs22 
\par }}