Personal details

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First Name 
Last Name 
E-mail Address   
Postal Address 
Postcode 
Telephone No 
Permission for Gift Aid to be claimed on your donation
I declare that I pay enough UK income tax and / or capital gains tax to cover the amount of tax the charity will reclaim

Charity Name

Waters Edge Arts

Message to accompany donation

The Charity Service, Saint Thomas Centre, Ardwick Green North, Manchester, M12 6FZ

Telephone: 0303 999 1212

Fax: 0303 999 1213