Donation Form

I would like to make a donation towards the window appeal at St Andrew’s Church, Eastern Green, Coventry.

Please find enclosed a donation of ________________________________

I would like St Andrew’s Church to reclaim the tax I have paid on my donation through Gift Aid. I pay and have paid income or capital gains tax (in the UK) equal to the tax that St Andrew’s Church will reclaim. Please tick here__________

My details are:

First Name______________________________

Surname______________________________

Address___________________________________________________________

__________________________________________________________________

Postcode______________________________

Signature_______________________________

Date__________________________________

Please Make Cheques payable to: St Andrew’s Church, Eastern Green 


Please send completed form with donation to :

Jackie Lynch (Treasurer), c/o Revd. Greg Smith, The Vicarage, Church Lane, Eastern Green, CV5 7BX

If you do not wish to be included in our ” Book of Donations” please tick here __________

THANK YOU FOR YOUR SUPPORT