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Gift Aid Declaration
Title......................................................................
Surname...............................................................
Forenames...........................................................
Address...............................................................
............................................................................
............................................................................
Postcode..............................................................
Email..................................................................
Please treat my donation of £................................
(and all future donations*) as a Gift Aid donation.
(* delete if appropriate)
Signature..............................................................
Date.....................................................................
Please tick this box if you would like to receive further information from the National Gallery and National Gallery Company.
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