To John Hedge, the Secretary, MDG, 50 Friars Street, Sudbury, Oxon, C10 2AG
Name: …………………………………………………………………
Address: …………………………………………………………………
…………………………………………………………………
…………………………………………………………………
Email: …………………………………………………………………
Tel: …………………………………………………………………
I/We wish to apply for Individual/Household/Group membership as indicated below:
Individual: £10:00 per year ……
Joint household/family: £15:00 per year ……
Group (Offices, Clubs etc.): £15:00 per year ……
I/We wish to make a donation of: £……………………
Gift Aid declaration
(Please sign this declaration whether you are applying for membership or making a donation, as this will allow us to receive extra money by claiming back the tax you have already paid on the amount you are giving.)
I am / We are a tax payer in the United Kingdom relative to amounts donated and would like the charity to treat all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations. I am over 18
Signed: ………………………………………….
Date: ……………………………….…………
Mali Development Group - Charity Registration Number: 1088140