<%@LANGUAGE="VBSCRIPT" CODEPAGE="CP_ACP"%> Donation

Disabled Workers Co-operative Donation.

Please Print this page and send with your donation to:

Disabled Workers Co-operative
Alma House
3 High Street
Llandovery
Carmarthenshire
SA20 3PU

I would like to make a donation to the Disabled Workers Co-operative of £ ....................

Name: .............................................
Address: .............................................
  .............................................
Town: .............................................
County: .............................................
Post Code: .............................................
Tel: .............................................
Fax: .............................................
E-mail: .............................................

DWC would prefer to use your E-mail address as our main method of contact with you. Yes/No

Signed......................................... ......................Date..................................


Gift Aid

Gift Aid enables us to claim back the tax that you have paid on the amount you are donating to us, approximately 30% i.e. if you donate to us £100 to DWC we can claim back the tax making the total value of your donation £130.

I would like you to treat this donation to the Disabled Workers Co-operative, and any donation I make in the future until further, notice as a Gift Aid Donation.

I confirm I am a UK tax payer and the amount of tax I pay does not exceed the amount I would like the Disabled Workers Co-operative to claim.

Signed ........................................................... Date......................


The Disabled Workers Co-operative Ltd. Reg No. 4418227
Registered Charity No. 1112402


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