JCG Make a Gift Form

Page 1

Make a Gift Please complete this form in BLOCK CAPITALS and in black ink

Personal contact details

Gift details

Title

I/We will contribute a net total of £

First name/s

I/We intend to pay

Surname/s

Monthly

Quarterly

Address:

One-off

Other

£

Payment date

Annually

/

/

Method of payment: (Please tick one) Postcode

Cheque

Standing Order (Please complete form below)

Telephone Mobile

(Please make payable to JCG Foundation) JCG Foundation can reclaim tax paid on your donations. See below for details.

Email

I would like my gift to support: The Scholarships & Bursaries Fund The Capital Investment Fund

Where the school needs it most (unrestricted fund) Other projects (please specify)

Standing order mandate To the Manager of (your Bank) Bank address:

The sum of £ On (date)

/

/

And thereafter Annually / Monthly / Quarterly on the same day of the month for or until further notice.

Please pay to: Account name: Sort code: Account No:

Natwest Bank Jersey JCG Foundation 60-12-03 26773589

Tax Refunds

Account name Sort code Account No Signature

The Foundation can claim the tax back on annual gifts from £50. The donor must pay Jersey income tax for this to be possible. Please complete Tax Form R10 and return with this form to the Foundation Office.

Date

/

/

years


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