Barnabas Fund - DONATION FORM
I share your concern for the persecuted church in the world today

Name(Full)
_____________________
Telephone
(_________)___________
Address
_____________________
Email
_____________________
Town
_____________________
County
_____________________
Country
_____________________
Post Code
___________

I would like to donate a gift of £___________

Please use this gift where it is most needed
Please use this gift specifically for project number ____-_______*
*Barnabas Fund may use this gift for another project if the one indicated is sufficiently funded

I enclose a cheque/postal order made payable to Barnabas Fund

Please debit my: Visa / MasterCard / Amex / Switch / Solo / JCB / CAF

Name (as on card) ___________________________________________________________________________

Card Number ___________________________________________ Expiry Date _________________________

Start Date ______________________ Issue Number ______


Signature________________________________ Date_______________


I do not require acknowledgement of this gift
I do not wish to receive information on Barnabas Fund

Gift Aid Declaration
I authorise Barnabas Fund, The Old Rectory, River Street, Pewsey, Wiltshire, SN9 5DB, Reg Charity No 1092935, to treat all donations I have made since 6th April 2003 and all subsequent donations as Gift Aid donations until I notify you otherwise.

Signature______________________________ Date _____________________

(Applicable to UK tax payers only)
If you have previously signed a Gift Aid Declaration for Barnabas Fund, you do not need to sign again. To qualify for Gift Aid, what you pay in income tax or capical gains tax must at least equal the amount of tax reclaimed on donations to registered charities in the tax year. Please inform us if you change your name or address or stop paying tax.


PLEASE PRINT THIS FORM AND POST IT TO:
Barnabas Fund, 9-10 Priory Row, Coventry, CV1 5EX