THE CANCER RESOURCE CENTRE
providing information, support and complementary therapies to people with cancer and their families

DONATION FORM

Yes, I want to help the Centre to survive by making the following donation: (please tick relevant amount)
£100____ £50____ £25____ £10____ Other £______

Name _________________________________________

Address __________________________________________

_________________________________________________

Postcode ___________

Telephone no ____________________

E-mail address ________________________

The Cancer Resource Centre is regulated by the Data Protection Act 1998.

Please tick this box if you do not want to receive any further information from us.

Gift Aid your donation

If you are a UK tax-payer, you can increase the value of your donation by almost a third under the Gift Aid scheme as the Centre can reclaim tax on your donation (currently 28 pence for each £1).

If you pay tax at the higher rate, you can claim further tax relief. You can cancel this declaration at any time.

(To qualify for Gift Aid, what you pay in income tax or capital gains tax must at least equal the amount we will claim in the tax year.)

I want all donations I've made since 6 April 2000 and all donations in the future to be Gift Aid donations until I notify you otherwise.

Signature ______________________________________

Date ______________

Please make your cheque or postal order payable to the Cancer Resource Centre and send it to:

Gemma Cannings
Fundraiser
The Cancer Resource Centre
20-22 York Road
London
SW11 3QE.

If you would like any further information, please contact Gemma at the Centre on 020 7801 2965.

Thank you.