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Max Nicholson



If you would like to give a donation in Max's memory . . . . . . .

If you would like to give a donation in Max's memory (and have not already done so), we suggest one of the following. Please tick the charity of your choice, complete the form, (including the gift aid section if you are a UK taxpayer; the recovered tax adds substantially to your gift), and send the form with your cheque made out to the charity direct to them.


I enclose a donation of £ . . . . . . . . . . . . . . . . . . . . . . . . in memory of Max Nicholson which I wish to be used:
 wholly for general purposes
 wholly or partly for a memorial to Max if one is planned, otherwise for general purposes.

Title and forename . . . . . . . . . . . . . . . . . . . . . . . . Last name . . . . . . . . . . . . . . . . . . . . . . . .


Address and postcode . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .


GIFT AID CERTIFICATE Please complete this section if you pay an amount of income tax or CGT in the current tax year at least equal to 28% of the value of your donation, which is the amount this certificate enables the recipients to reclaim from the Inland Revenue.

I direct the charity ticked above to treat the enclosed donation of £ . . . . . . . . . . . . as a Gift Aid donation

Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Date . . . . . . . . . . . . . . . . . . . . . . . . Note: