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Standing Order Pledge Form

Your contact details
Full name:
Address Line 1:
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Your donation pledge
Please pay Epilepsy Scotland the sum of £
until further notice, starting on
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Gift Aid declaration
I confirm that I am a UK Income or Capital Gains taxpayer. I have read this statement and want Epilepsy Scotland to reclaim tax on my previous and future donations from HMRevenue and Customs. I understand that I must pay an amount of Income Tax and/or Capital Gains Tax in the tax year at least equal to the amount of tax that all the charities and Community Amateur Sports Clubs that I donate to, will reclaim on my gifts for that tax year. I understand the other taxes such as VAT & Council Tax do not qualify. I understand that the charity will reclaim 25p of tax on every £1 that I have given.
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