Blue Badge Network ~ Gift Aid Taxation Declaration Form

I am a UK income tax payer and would like the Blue Badge Network to reclaim tax on all donations I have made to them since 6th April 2000 and any I make in the future. Name………………………………………..........................Membership Number…………………..........…… Address…………………………………………………………………………………….………………………………………………. Post Code…………………………………. Signed……………………………………….. Date……………………………………….. Please print out this form and send to: The Blue Badge Network, 198 Wolverhampton Street, Dudley, West Midlands, DY1 1DZ