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Get the free 14843 SR In Memory Direct Debit Form A4PRINT 22/04/2013 16:43 Page 1

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You understand the charity will reclaim 28p of tax on every 1 that you gave up to 5 April 2008 and will reclaim 25p of tax on every 1 that you give on or after 6 April 2008. 50 My own amount of o 10 o 25 Please debit the speci ed amount from my account on or around please tick as appropriate o 1st o 15th monthly/quarterly/annually please delete as appropriate starting in month Banks and building societies may not accept Direct Debit instructions for some types of account. Treated as Gift Aid...
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