Friends Of S. Cyprian’S, Clarence Gate
Glentworth St, London, NW1 6AX
Application Form
I would like to be a Friend of S. Cyprian’s, Clarence Gate.
Name...................................................................
Address.................................................................
..........................................Post Code.....................
Email....................................................................
Telephone number.....................................................
Gift Aid enables S. Cyprian’s to reclaim 28p of every £1 of tax. If you are a UK tax payer and the amount you pay is equivalent to or more than the amount you wish to pledge, please consider Gift Aiding your donation.
Please delete as appropriate.
YES/NO I would like to support S. Cyprian’s through the Gift Aid scheme and would like the Gift Aid form to be sent to me.
YES/NO I would like a Standing Order form for my bank
YES/NO My donation will be a once-off/weekly/ monthly/annual payment
Signed................................................Date..........................................
Please send this form to:
The Friends of S. Cyprian’s Administrator
S. Cyprian’s Church
Glentworth St
London
NW1 6AX