GIFT AID DECLARATION

                        (Certificate of a single payment by an individual to The Cricket Society Trust)     

             Charity Name   THE CRICKET SOCIETY TRUST                  Registered Charity No 1017194  

Details of Donor

Title  ..........       Forename(s)..................................................... Surname ...............................................

Address.  ........................................................................................................................................................

                   ....................................................................................................................................................... 

Tax District ...................................                                        Tax Referance................................................

I want The Cricket Society Trust to treat the donation of £...........................which I made on ..../..../...... as a Gift Aid Donation   

Signature ..............................................................                        Date .........................

Please return the form to The Secretary, The Cricket Society Trust, 16 Louise Road,Rayleigh, Essex SS6 8LW