Subscription Form

+1-800-456-478-23

info@email.com

Membership (Monthly £10)

Standing Order Cash Only

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Please tick the boxes below to confirm the following:

I am aged 16 or over. I accept and agree to abide by the Constitution of Shia Asna Ashri Islamic Centre as approved and signed by all trustees. I agree to receive regular programme updates and other relevant communications by email or directly to my mobile number provided. The information provided in this form is true and accurate Gift Aid: By using Gift Aid, you can increase the value of your gift to the Shia Asna Ashri Islamic Centre and, if you are a higher rate taxpayer, you may claim additional tax relief on your self-assessment tax return I want to gift aid all my donations including the ones I have made in the past 4 years to Shia Asna Ashri Islamic Centre and any I will make in the future. I am a UK taxpayer and understand that if I pay less income tax and/or Capital Gains Tax than the amount of gift aid claimed on all my donations in that tax year, it is my responsibility to pay the difference.

Note: Please remember to tell us if you change your name or address, want to cancel your gift aid declaration, or no longer pay enough UK income/capital gains tax to cover the money we claim in gift aid. We will claim 25p on every £1 you donate.

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Dated

Note: Bank details are provided for regular monthly standing order are: Account Title: SAAIC, Sort Code 80-07-61, Account No. 00814821, Ref: SAAIC _ _ _ M

+1-800-456-478-23

Subscription Form

Shia Asna Ashri Islamic Centre 19 Ashley street Glasgow G3 6DR

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