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DONATION FORM Title First name(s)

The National Coal Mining Museum for England may use the details provided in this form to keep you informed about the products and services we provide.

Surname Address

Postcode If you do not wish to be added to our mailing list, please tick here

Contact telephone number Email I would like to give a gift of £___________

I enclose my cheque/postal order payable to the National Coal Mining Museum for England Trust Ltd OR

I would like to make my donation by credit or debit card Card type

Switch/ Visa/ Mastercard accepted (please delete as appropriate)

Card number

Valid from


Issue No

(Switch only)

(Switch only)

Make your donation go further – Gift Aid it! If you are a UK taxpayer, Gift Aid is an easy way to make your donation tax-effective. We can reclaim the basic rate of tax on your donation at no extra cost to you. All you need to do is complete a Gift Aid declaration. To qualify to make a Gift Aid declaration, what you pay in Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) must at least equal the amount we (and any other charity or Community Amateur Sports Club you donate to) will reclaim on your donations in the tax year. Other taxes such as VAT and Council Tax do not qualify. We will reclaim 28p of tax on every £1 that you gave us up to 5 April 2008 and 25p of tax on every £1 that you gave us on or after 6 April 2008. So if you are eligible and want to make your donation go further, Gift Aid it! I am a UK taxpayer and I would like the National Coal Mining Museum for England Trust Ltd to treat all donations I have made for the four years prior to this year and all donations I make in the future as Gift Aid donations, until I notify you otherwise. Full name________________________________________ Date _________________________

Please return this form with your donation to:

NCMME, Caphouse Colliery, New Road, Overton, Wakefield, West Yorkshire WF4 4RH

THANK YOU FOR YOUR SUPPORT National Coal Mining Museum for England Trust Ltd Registered Charity No. 517325