Gift Aid Option: Gift Aid increases the value of your donation by 28%

I (full name) ______________________________________________________

of (address) ______________________________________________________

________________________________________________________________

__________________________________ Post Code ___________________

would like ROKPA Trust to treat all my donations, from April 2000 onwards, as Gift Aid donations until further notice. I confirm that I am a UK tax payer and the amount of income tax and/or capital gains tax I pay exceeds the sum of tax to be reclaimed in the tax year.

Signed ________________________________________ Date _______________

I enclose a cheque for £_____________ (please make cheques payable to: ROKPA UK)

Or please charge my CAF/Credit/Debit Card

Card Number:

Valid From: Expiry Date: Security number:

Signed__________________________________________ Date_____________

Mrs/Mr/Miss/Ms____________________________________________________

Address __________________________________________________________

________________________________________________________________

Post Code ________________ Email __________________________________