DONATION FORM

Please print and use

Name:

Address:

Postcode:

I enclose a donation of £______________ to support the work of HIPPO.

Please complete the Gift Aid Declaration below if you can

o I am a taxpayer and I would like this donation, and all previous donations if any that I have made since 6 April 2000, and any further donations I might make in the future until further notice, to be treated as Gift Aid. I understand that this will enable HIPPO to reclaim from the government a further 28p (currently) on each £1 I donate.

Signature__________________________

o Please send to me a Standing Order form. I want to make regular monthly, quarterly or yearly payments.

Cheques or postal orders should be made payable to HIPPO and mailed to:

HIPPO, The Old Vicarage, Llangynog, Carmarthen SA33 5BS

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