Plasticsurgery Africa was relaunched on 9 August 2010 as Resurge Africa. Please visit our new website at www.resurgeafrica.org

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Ghana Plastic Surgery
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Donating / Single Donation Form

A Not-for-Profit Scottish Registered Charity No: SC020924

I wish to make a donation of £ ..............................................

Name:     ................................................................................

Address: ................................................................................

               ................................................................................

Tel:         ................................................................................

Email:     ................................................................................

(a) I enclose a cheque made payable to IRPS (Ghana) Project

(b) My credit card details are set out below

Card name: MasterCard Visa Switch Other: ..........................

Cardholder's name: ...............................................................

Card no: ................................................................................

Expiry date: ...........................................................................

Signature: .............................................................................

Today's date: ........................................................................

GIFT AID:

I want the IRPS Ghana Project to treat the donations I make from today's date as Gift Aid Donations, therefore qualifying for tax relief, until I notify you otherwise. I understand that the tax IRPS reclaims on these donations (currently 28p for every £1) must not exceed the total amount of income and/or capital gains tax that I pay in any tax year.

Date: .......................... (please date and tick box)


Please complete the above form and send to:

Allan R Burns
Project Manager
IRPS (Ghana) Project
Fassifern
Barrhill Crescent
Kilbarchan
Renfrewshire  PA10 2EU

The donation forms are also available for easy download and printing as pdf's. To view the pdf's you will need to have Acrobat Reader installed on your computer.
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acrobatdownload the single donation form pdf

Section Pages:

 Single Donation Form
 Regular Donation Form
 Legacies & Wills


 Back to Donating main

 



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