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Your Name

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Personal Details

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Payment Details

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Gift Aid

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Purley Baptist Church can reclaim the tax paid on this donation. Please remember that you must pay an amount of income tax and/or capital gains tax equal to the tax that is reclaimed for this donation.

I would like Purley Baptist Church to reclaim tax on all donations associated with this Payment Group Registration.

I do NOT want Purley Baptist Church to reclaim tax on this donation.

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