Pledge Support

This is not an online form.  Please complete the below form, print it out (remember to sign and date the print out) and then post it to the address found at the bottom of the page.

I enclose a single gift of £.
(Please make cheques payable to 'IMPACT Ministries')
I would like to make a regular donation.  Please send me details.
I would like to donate supplies (please state type of supplies).
Name:
Address:
Town/City:
County/State:
Post Code/Zip:
Country:
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Telephone:
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Gift Aid

If you are a UK taxpayer we can claim another 28p for every pound that you donate.  (You must pay an amount of tax equal to the amount we will reclaim.)  All you need to do is sign the declaration below.  This can be used for one-off donations and all future donations.  You can cancel your declaration at any time.

Gift Aid Declaration
I am a UK taxpayer and would like to make a Gift Aid declaration.  I want IMPACT Ministries to treat all donations I have made since 6th April 2000 and all donations I make from the date of this declaration until I notify you otherwise as Gift Aid donations.
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Signed: 

 _________________________
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Date: 

 ____________
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Thank you for your support!
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Please post the completed form to:

    Andrew Loney
    IMPACT Ministries
    48e High Street
    Lurgan
    Co Armagh
    BT66 8EU
    Northern Ireland

UK Charity Number: XR22189