s l i a t e D n o i t a n o D Please ensure the cheque is made payable to the Relief Chest Scheme. n o i t a r a l c e D d i A t f i G s l i a t e D l a n o s r e P e m a n t s r i F e m a n t s a L This form is for personal donations only d i A t f i G f o t n u o m a e h t n a h t x a T s n i a G l a t i p a C r o / d n a x a T e m o c n I s s e l y a p I f i t a h t d n a t s r e d n u d n a r e y a p x a t K U a m a I . e c n e r e f f i d y n a y a p o t y t i l i b i s n o p s e r y m s i t i r a e y x a t t a h t n i s n o i t a n o d y m l l a n o d e m i a l c : e d a m y e n o m f o s t f i g g n i y f i l a u q l l a , s n o i t a n o d d i A t f i G s a t a e r t e s a e l P . m r o f e h t e t a d d n a ) s e ( x o b t n a v e l e r e h t k c i t u o y e r o f e b w o l e b n o i t a r a l c e d e h t d a e r e s a e l P e r u t a n g i S Please notify us if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains. Send this completed form to: Relief Chest Scheme, Masonic Charitable Foundation, 60 Great Queen Street, London WC2B 5AZ Tel: 020 3146 3352 Email: [email protected] s s e r d d A : e r e h k c i t e s a e l p , d e m i a l c e r e b o t x a t r o f h s i w t o n o d u o y f I june19 : e s o l c n e I e d o c t s o P e m a n r e t p a h C / e g d o L . o n r e t p a h C / e g d o L y l n o n o i t a n o d s i h t n O s r a e y 4 t s a p e h t n i e r u t u f e h t n i D D - M M - Y Y Y Y e t a D e u q e h c a ) L K K / F A C . g . e ( r e h c u o v y t i r a h c a . £ t n u o m a n o i t a n o D e t a n o d u o y 1 £ y r e v e r o f d i A t f i G f o p 5 2 y b n o i t a n o d r u o y t s o o B d e r e t s i g e R y t i r a h C d n a r G e h T ( e m e h c S t s e h C f e i l e R e h t , e m e h c S d i A t f i G s t n e m n r e v o G e h t r e d n u , r e y a p x a t K U a e r a u o y f I d i A t f i G . t f i g r u o y f o e u l a v e h t o t t i d d a d n a n o i t a n o d r u o y n o d i a p y d a e r l a e v a h u o y x a t e h t m i a l c e r n a c ) 2 4 9 1 8 2 r e b m u N y t i r a h C . r a e y x a t t n e r r u c e h t r o f y a p u o y x a t e h t m o r f y t i r a h c e h t y b d e m i a l c e r s i . r e y a p x a t K U t n e r r u c a s a u o y y f i t n e d i o t d e d e e n s i s s e r d d a r u o Y . o N t s e h C f e i l e R Data Protection Act 2018 - Privacy Notice The Relief Chest Scheme is committed to protecting your personal information. Our legal basis for collecting, processing and sharing personal information as set out in our Privacy Policy is based on the legitimate interest of the Relief Chest Scheme. To find out more about how we handle, share and store your personal information and how to amend or request a copy of any personal information we hold about you, please visit www.mcf/reliefchest/privacypolicy 1 774670 326935 Single Donation Form MASONIC COVID19 APPEAL COVID19
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sliateD noitanoD
Please ensure the cheque is made payable to the Relief Chest Scheme.
noitaralceD diA tfiG
sliateD lanosreP
eman tsriF
eman tsaL
This form is for personal donations only
diA tfiG fo tnuoma eht naht xaT sniaG latipaC ro/dna xaT emocnI ssel yap I fi taht dnatsrednu dna reyapxat KU a ma I.ecnereffid yna yap ot ytilibisnopser ym si ti raey xat taht ni snoitanod ym lla no demialc
:edam yenom fo stfig gniyfilauq lla ,snoitanod diA tfiG sa taert esaelP
.mrof eht etad dna )se(xob tnaveler eht kcit uoy erofeb woleb noitaralced eht daer esaelP
erutangiS
Please notify us if you want to cancel this declaration, change your name or home address or no longer pay sufficient tax on your income and/or capital gains.
Send this completed form to: Relief Chest Scheme, Masonic Charitable Foundation, 60 Great Queen Street, London WC2B 5AZ Tel: 020 3146 3352 Email: [email protected]
sserddA
:ereh kcit esaelp ,demialcer eb ot xat rof hsiw ton od uoy fI
june19
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edoctsoP
eman retpahC/egdoL
.on retpahC/egdoL
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D D - M M - Y Y Y YetaD
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.£ tnuoma noitanoD
etanod uoy 1£ yreve rof diA tfiG fo p52 yb noitanod ruoy tsooB
deretsigeR ytirahC dnarG ehT( emehcS tsehC feileR eht ,emehcS diA tfiG s�tnemnrevoG eht rednu ,reyap xat KU a era uoy fI
diA tfiG .tfig ruoy fo eulav eht ot ti dda dna noitanod ruoy no diap ydaerla evah uoy xat eht mialcer nac )249182 rebmuN ytirahC
.raey xat tnerruc eht rof yap uoy xat eht morf ytirahc eht yb demialcer si
.reyapxat KU tnerruc a sa uoy yfitnedi ot dedeen si sserdda ruoY
.oN tsehC feileR
17
74
67
03
26
93
5
Data Protection Act 2018 - Privacy Notice
The Relief Chest Scheme is committed to protecting your personal information. Our legal basis for collecting, processing and sharing personal information as set out in our Privacy Policy is based on the legitimate interest of the Relief Chest Scheme.
To find out more about how we handle, share and store your personal information and how to amend or request a copy of any personal information we hold about you, please visit www.mcf/reliefchest/privacypolicy
17
74
67
03
26
93
5
Single Donation Form
MASONIC COVID19 APPEAL
COVID19
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