Pledge Form Name * First Name Last Name Phone (###) ### #### Email * Address Address 1 Address 2 City State/Province Zip/Postal Code Country UPFRONT ONE OFF GIFT This amount is: £ I have bank transferred this with the reference: [mysurname]purpose25 I will bring my gift to church I will send my gift by the date below: MM DD YYYY REGULAR GIFT This amount is: £ This amount will be given: Weekly Monthly Quarterly Annually For this length of time: Starting on this date: MM DD YYYY GIFT AID Gift Aid is a government scheme that allows us to reclaim the basic rate tax you pay as a UK taxpayer. It means that we can claim 25p of tax for every £1 you donate, at no extra cost to you. I would like all donations that I have made to Vineyard 53 in the last four years, and all future donations, as qualifying for Gift Aid until further notice. I am a UK taxpayer and I understand that in order to gift aid my donation(s) I must pay income and/or capital gains tax at least equal to the tax that will be reclaimed on my gifts. I am aware that it is my responsibility to pay any difference in that tax year. I will notify Vineyard 53 if I am no longer a tax payer. Privacy Policy To read our full privacy policy, go to vineyard53.org/privacy-policy I accept Vineyard 53's privacy policy Thank you!