Name *

First Name

Last Name

Phone *

Country

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Today's Date *

MM

DD

YYYY

I want to Gift-aid all my donations to Chabad of Battersea from the above date and the past 4 years. I am a UK taxpayer and understand that if I pay less Income Tax and/or Capital Gains Tax than the amount of Gift Aid claimed on all my donations in that tax year it is my responsibility to pay any difference. *

Please notify us if any of the above information changes.

YES