Wildlife Guardian (joint)

Title

First name

Last name

Date of Birth

Phone number

Street address

Post town

Postal code

County

Details of additional adult if applying for a Joint Guardianship. Title:

First name

Last name

Date of Birth

Gift Aid Declaration

I agree to Gift Aid

By selecting the ’I agree to Gift Aid’ option you agree to the following statement: I confirm I have paid or will pay an amount of Income Tax and/or Capital Gains Tax for each tax year (6 April to 5 April) that is at least equal to the amount of tax that all the charities or Community Amateur Sports Clubs (CASCs) that I donate to will reclaim on my gifts for that tax year. I understand that other taxes such as VAT and Council Tax do not qualify. I understand the charity will reclaim 25p of tax on every £1 that I have given.

I am not a UK tax payer

I do not wish to Gift Aid

Wildlife Guardian (joint)

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